Background : The mortality rate of cervical cencer is still the number one among the female cancer. The cervical cancer can be detected in early stage by cytology and biopsy which may be curable disease in early stage. In our study clinical and pathological studies were made on 48 cases of malignances of uterine cervix which were confirmed by the pap smear test and punch biopsy. Method: This study was performed on 4,827 patients visiting obstetrics and gynecology out-patient department at YoSu Chunnam hospital to take pap smear test from Jan. 1, 1992 to Dec. 31, 1993. Punch biopsy had been done those who were seen abnomal finding. Result: 1.The incidence of cervical carcinoma was 0.99%, the age distribution was from 26 to 78 years and most prevalent age group was 30~39 years. The average age was 45.9. 2.The distribution of pap smear result were Class 1 70.87%, Class 2 22%, Class 3 5.94%, Class 4 1.12%, Class 5 0.06% 3. About 40.6% of the cases were postmenopausal women and the average number of pregnancy was 5.1 and the number of delivery was 3.5 and the number of abortion was 2.5. 4. The result of cytology and biopsy were ompatible in 75%, the cytology result were higher grade than biopsy result in 7.7%, and cytology result was lower grade than biopsy result in 17.3%. 5. The most prevalent age group of noninvasive uterine cervical carcinoma was 30~39 years old, average of 42.9 years old. 6. Among the invasive cervical carcinoma, squamous cell carcinoma was 77%, adenocarcinom was 23% and most prevalent age group was 50~59 years which occupy 54% of all cases.
Conclusion : The incidence of cervical cancer in Yosu area was very close to nation wide data. In this study, we have found that the incidence of cervical carcinoma dose not seem to be related to the number of pregnancy, state of menopause. The rate of lower grade result of cytology than actual biopsy result was slightly high and the incidence of cervical carcinoma has increased by twice in 1993 compare to the year of 1992.