Use this url to cite publication: https://hdl.handle.net/20.500.12512/83708
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Correlating papanicolaou smear, colposcopic impression and biopsy findings for the detection of cervical pathology / L. Vaidotiene, D. Vaitkiene, I. Poznanskyte, A. Gaurilcikas
Type of publication
Konferencijų tezės nerecenzuojamame leidinyje / Conference theses in non-peer-reviewed publication (T2)
Title
Correlating papanicolaou smear, colposcopic impression and biopsy findings for the detection of cervical pathology / L. Vaidotiene, D. Vaitkiene, I. Poznanskyte, A. Gaurilcikas
Date Issued
Date Issued |
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2007-10-28 |
Extent
p. 1 skelb..
Is part of
ESGO 2007: 15th International Meeting of the European Society of Gynaecological Oncology [elektroninis išteklius] : Berlin, Germany, October 28-November 1, 2007. Berlin, 2007.
Version
Originalus / Original
Field of Science
Abstract
Objective. To determine associations among cervical cytology, colposcopy, and biopsy in the detection of cervical pathology. Methods. A retrospective analysis of individual outpatient charts of 298 women, 17-79 years of age, who had cervical cytology, colposcopy and biopsy between November 2005 and November 2006. Cytology, colposcopy and biopsy findings were correlated to determine concordance of identified lesions. Results. 61% of patients with atypical squamous cells of undetermined significance (ASC-US) cytology had histologic findings of cervical intraepithelial neoplasia (CIN) or worse compared to that of 39% with atypical squamous cells when high-grade squamous intraepithelial lesion can not be excluded (ASC-H) cytology, 71% with low-grade squamous intraepithelial lesion (LSIL) cytology and 88% with high-grade squamous intraepithelial lesion (HSIL) cytology. Colposcopic lesions were found in 98% of patients with abnormal cytology. 36%, 15% and 5% of patients with colposcopic lesions had histologic findings of CIN3, CIN2 and CIN1, respectively. 13% and 1% of patients with colposcopic lesions had histology confirmed invasive carcinoma and carcinoma in situ. In 29% of patients with colposcopic lesions biopsy revealed cervicitis and in 1% of patients no histologic abnormality was found. Conclusions. Dysplasia was not confirmed in a tenth of the patients with HSIL or worse cytology and in a third of the patients with ASC-US, ASC-H or LSIL cytology. Dysplasia was not confirmed in a third of the patients with colposcopic lesions. Only combining the Papanicolaou smear, colposcopy and biopsy methods provides accurate diagnostics of the cervical pathology and enables to avoid unnecessary surgical interventions.
Type of document
type::text::conference output::conference proceedings::conference paper
Other Identifier(s)
(LSMU ALMA)990000695210107106
Coverage Spatial
Vokietija / Germany (DE)
Language
Anglų / English (en)
Affiliation(s)