ObjectiveThe aim of this study was to evaluate the correlation between resection margin status after conization and severity of dysplasia and to evaluate the risk of residual disease and recurrence for positive resection margin after conization. MethodsWe retrospectively reviewed the medical and histopathological records of 202 patients who underwent conization that revealed cervical intraepithelial neoplasia (CIN) at Myongji Hospital, Kwandong University College of Medicine between November 2003 and February 2011. Patients were followed up every three to six months with cervicovaginal smears, and suspected cases of recurrence were subjected to colposcopy and biopsy. . The frequency of resection margin involvement after conization was higher with increasing severity of CIN (P = 0.009). Hysterectomy was performed in 28 patients (13.9%). The incidence of residual disease was 53.8% (7/13) in resection margin free group and 33.3% (5/15) in resection margin involvement group (P = 0.445). There were three (3/52, 5.7%) recurrence in resection margin involvement group and two (2/122, 1.6%) recurrence in resection margin free group (P = 0.335). ConclusionThe risk of resection margin involvement after conization increased with increasing severity of CIN. However, the women with involvement of resection margin after conization often have no residual disease and there was no difference in recurrence between the resection margin status. Therefore, patients whose resection margins were involved after conization could be managed conservatively.

ObjectiveTo compare the clinical characteristics, hematologic findings, microbiologic results of Fitz-Hugh-Curtis syndrome (FHCS) to uncomplicated pelvic infl ammatory disease (PID). MethodsWe retrospectively reviewed the medical records of 41 patients of FHCS and 52 patients of uncomplicated PID in Myongji Hospital from January 2007 to August 2011. Between the two groups, we compared clinical manifestations, physical examination fi ndings, hematologic fi ndings, microbiologic study fi ndings, abdomen and pelvic computed tomography. ResultsFHCS accounted for 14.3% of total cases of pelvic infl ammatory disease at our medical institution. Patients of both groups visited with a chief complaint of abdominal pain. The most common symptom was the right upper quadrant (RUQ) pain (78.0%) in the FHCS group and the pelvic pain (75%) in the uncomplicated PID group. The incidence of pelvic organ tenderness and cervical motion tenderness was lower in the FHCS group as compared with the uncomplicated PID group. FHCS group was associated with signifi cantly higher C-reactive protein level in comparison to that of uncomplicated PID group (P = 0.0175). In addition, higher incidence of chlamydial infection was noted in FHCS group. ConclusionThe typical signs of PID were not evident in some cases of FHCS. A gynecologic approach would therefore be mandatory for further evaluation and treatment in women who visited with a chief complaint of the acute RUQ pain. Keywords