The importance of immediate verification of a cervical cytological abnormality with histology

• DOI: 10.4103/0019-509x.123591
• Publication Date: 2013-12-24T08:41:00Z
• Authors: C Kabaca; B Sariibrahim; I Keleli; A Karateke; S Cesur; H Cetiner
• Keywords: Squamous intraepithelial lesion; Bethesda system; Papanicolaou Test

BACKGROUND: A serious proportion of the patients with invasive cervical cancer can be women who have had abnormal smear findings known for at least 6 months. AIMS: The aims study were to evaluate cytohistopathologic correlation in population studied, and discuss acceptability immediate histological verification minor Papanicolaou abnormalities. MATERIALS AND METHODS: total 443 admitted results undergone colposcopy, biopsy endocervical curretage gynecologic oncology clinic between years 2003-2009 enrolled into present retrospective study. One-way analysis variance independent t-tests used results. RESULTS: distribution documented as 46.27%, 29.57%, 13.76%, 7.67%, 1.58%, 0.67%, 0.45% atypical squamous cells undetermined significance (ASC-US), low-grade intraepithelial lesion (LSIL), high-grade (HSIL), cannot exclude (ASC-H), cell carcinoma (SCC), glandular (AGC), adenocarcinoma, respectively. percentages neoplasia grade 2-3 (CIN 2-3) greater lesions 70.49%, 35.29%, 15.26%, 9.75% HSIL, ASC-H, LSIL, ASC-US, Moreover, 38.36% all CIN or (n = 104) cases originated from those low referral diagnosis (ASC-US LSIL). CONCLUSIONS: majority predominantly ASC-US LSIL approximately 40% high came diagnosis. This shows poor cytohistopathological calls triage cytological abnormalities question.