予防医学的見地よりみた子宮癌早期発見の現況

細胞学的診断の重要性, 殊に不可視癌における意義について

抄録

This is a report from a uterine cancer detection clinic which belongs to the Health Department of Osaka Prefecture. The number of first visit patients was 397 and total number including re-examined parients was 664 for two years. The age distribution was from 16 to 78 years old and its average was 40.8 years old.
Concerning of the objective symptoms, 21.6% of all cancer patients had vaginal bleeding, 8.7% of them had postcoital bleeding, 33.2% had vaginal discharge, 9.3% had lumbago, 6.6% had lower abdominal pain and 20.5% had no objective symptom.
For two years, 16 cancer patients were found in this clinic and it was 4. 03% of all visitors. They were consisted of two stage O (Ca. in situ), nine stage I, one stage II, on stage III, one adeno carcinoma, one carcinoma of vulva and one recurrence after the operation of the cervical cancer.
Twelve out of sixteen had some objective symptoms and four had no symptom. Six out of sixteen had no pathologic finding on cervix and vulva by inspection. Only ten out of fifteen (66.6%) had colposcopically some pathologic findings but thirteen out of fifteen cytologically showed class IV or V and other two showed class III.
Even in cases of cancer which were not found any pathologic lesions by inspection or colposcopy, cytology showed pathologic findings.
This paper discusses of the importance of cytology on early diagnosis of uterine cancer, explainning each of cases which were found in the Toyonaka Cancer Detection Center.