Document Detail
Histological evaluation of cervical oncocytology and cone biopsy value in the treatment of cervical pathology
Abstract/OtherAbstract :
Objective. To evaluate and analyse the correlation between cervical cytology and postconization histology. Materials and Methods. 473 female patients operated on (diathermo- conization) at IOVU were retrospectively analysed. All patients had at least one preoperative cervical cytology evaluated according to the Bethesda system, and all postoperative specimens were histologically evaluated. Results. 53 (11.2%, 95% PI 8.4-14.0) patients had invasive cancer on histology, 289 (61.1%, 95% PI 56.7-65.5) patients had Ca in situ, CIN2 was found in 78 (16.5%, 95% PI 13.1-19.8) patients, CIN1 in 21 (4.4%, 95% PI 2.6-6.3) patients and 32 (6.8%, 95% PI 4.5-9.6) patients with chronic cervicitis. From the 473 patients, 418 (88.6%) had HSIL on cytology, after conization, invasive cancer was verified in 49 (11.7%, 95% PI 8.6-14.8) patients, Ca in situ was found in 259 (62.0%, 95% PI 57.3-66.6) patients, CIN2 in 73 (17.5%, 95% PI 13.8-21.1) patients, CIN1 in 19 (4.5%, 95% PI 2.5-6.5) patients and chronic cervicitis in 18 (4.35%, 95% PI 2.4-6.3) patients. From the 473 cytology specimens when compared to histology, 53 (11.2%) patients were diagnosed with invasive cancer, mostly microinvasive cancer. Ca in situ was found in 289 (61.1%), CIN2 was found in 78 (16.5%), CIN1 was found in 21 (4.4%) and chronic cervicitis was found in 32 (6.8%) cases. Conclusion. These data show that in cases of HSIL cytology it is imperative to pursue a proactive treatment protocol (screen and treat), especially
Authors :
Petraitis, Sigitas
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Date Detail :
20070802
Subject :
Citodiagnostika, Vėžys (medicina), Ląstelės, Cytodiagnosis, Cancer cells
Coverage :
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Source :
http://vddb.library.lt/obj/LT-eLABa-0001:J.04~2006~ISSN_1392-0138.V_13.N_2.PG_88-91
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All rights reserved
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Languages :  eng    
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