The necessity of colposcopy in cervical premalign lesions
[ N/A ]
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Gunes Kitap Kirtasiye
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: To investigate the diagnostic accuracy of colposcopy who had applied to our policlinic with abnormal pap smear. Material and Method: This was a prospective trial involving 80 patients who had an abnormal pap smear. This study involves 80 patient who attend to Mustafa Kemal University Obstetric and Gynecology policlinic with abnormal smear between January 2009 and January 2010. After the approval of patients, first a colposcopic examination and than colposcopy induced biopsy was performed. To all patients endocervical and endometrial curettage were performed. Patient data was calculated with SPSS-13.0 for istatistical analizes. Results: From 80 patients 38 case (%47,5) was ASCUS, 21 (%26,3) ASC-H, 7 (%8,8) LSIL, 12 (%15) HSIL, 2 (%2,5) AGNOS. After the colposcopic examination 33 (%41,3) patients colposcopy is normal, 47 (%58,8) patients colposcopy is pathologic.We performed colposcopy induced biopsy. When we evaluated the outcomes; 16 patients results is normal. 26 patients pathology is cervisiterosion, 3 patients coilositotic findings and 35 patients outcome pathologic (LSIL, HSIL, SCC). Colposcopy showed a sensitivity %85,7, specifity %62,6, positive predictive value (PPV) %63,8, negative predictive value (NPV) %84,8 in cervical premalign lesions. Conclusion: Colposcopy has made major contributions by reducing the number of blinded four quadrant biopsies, unnecessary conizations and invasive surgical procedures. Colposcopy induced biopsy is the gold standart in cervical premalign lesions. On the other hand, colposcopy is considered a subjective procedure that is highly dependent on observer evaluation. Eventually, by review of cytologic, colposcopy and histopathologic data together the most true approach is done for the patient. © 2017 Gunes Kitap Kirtasiye. All rights reserved.
Açıklama
Anahtar Kelimeler
Cervical Premalign Lesion, Colposcopy, Histopathology
Kaynak
Turk Jinekolojik Onkoloji Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
18
Sayı
4
