Author  
Place of duty  
Title   자궁경부암 임상병기 설정과정에서 일률적 검사시행의 비효율성 ( The Inefficiency of Routine Performance of a Batch of Tests in the Clinical Staging Work - up of Cervical Carcinoma )
Publicationinfo   2000 Jan; 032(04): 705-714.
Key_word   Cervix neoplasm, Staging
Full-Text  
Abstract   Purpose: This study was to evaluate the efficiency of routine performance of a batch of tests in the clinical staging work-up of cervical carcinoma. Materials and Methods: The medical records were reviewed for 1,393 consecutive cervical carcinoma patients who underwent pretreatment staging work-up in Seoul National University Hospital from January 1988 to December 1997. The impression stage -which is designated tentatively by the findings of pelvic examination and biopsy-, the results of staging work-up, and the finally allotted FIGO clinical stage were reviewed. The annual trend of stage distribution and the positive yields of tests were evaluated. Results: Annual trend shows that Ia is increasing. The positive yield of chest x-ray was 0.22% (3/1, 379; Ib: 1, IIa: 1, IIb: l), intravenous pyelography (IVP) 2.50% (31/I, 242; Ib: 2, IIa: 4, IIb: 17, IIIb: 8), cystoscopy 0.55% (6/1, 093; IIb: 4, lIIb: 2), and proctosigmoidoscopy 0.086% (1/1, 157; Ib: 1). After completing the staging work-up, 29 patients (2.08%) were upstaged. The routine performance of IVP in impression stage Ia and cystoscopy in impression stage IIa or less was considered inefficient. The routine performance of proctosigmoidoscopy was considered inefficient because of its very low yield. Conclusion: The selective performance of tests according to the impression stage during staging work-up is recommended to minimize the unnecessary treatment delay, cost, and patients' discom fort.
저 자   심순섭(Soon Sup Shim),김재원(Jae Weon Kim),김용범(Yong Beom Kim),노주원(Ju Won Roh),이철민(Chul Min Lee),박노현(Noh Hyun Park),송용상(Yong Sang Song),강순범(Soon Beom Kang),이효표(Hyo Pyo Lee)