Korean J Obstet Gynecol.
1999 Jul;42(7):1502-1507.
Clinical Evaluation of ASCUS and AGUS
Abstract
OBJECTIVE
To evaluate the incidence and clinical significance of ASCUS and AGUS in cervical smear by The Bethesta System.
METHOD: Study was carried by review of medical record of ASCUS and AGUS retrospectively from January 1997 to December 1998 at ILSIN Christian Hospital.
RESULTS
From the 21,388 cases of cervical smears, ASCUS was diagnosed in 593 cases[2.77%] and AGUS in 187 cases[0.87%]. Pathologic results of ASCUS were revealed in 15 cases[4.56%] as HPV, 24 cases[7.29%] as dysplasia, 9 cases[2.74%] as CIS and 1 case[0.31%] as SCC. So 14.89% was abnormal lesion. Pathologic results of AGUS were revealed 5 cases[5.21%] as HPV, 15 cases[15.63%] as dysplasia, 7 cases[7.29%] as CIS and 1 case[1.04%] as adenocarcinoma. So 29.17% was abnormal lesion.
CONCLUSION
The relatively high incidence of abnormal lesion of ASCUS and AGUS necessitates aggressive follow up and treatment are needed especially in Korea where colposcopic cost are low.