Üçüncü Basamak Bir Sağlık Kuruluşunda 2006-2015 Yılları Arasındaki Servikal Sitoloji Sonuçlarının Değerlendirilmesi

Year 2017, Volume: 17 Issue: 4, 267 - 274, 20.12.2017

Raziye Desdicioğlu Melahat Yıldırım Nuran Süngü Mesut Akyol Ayşe Filiz Yavuz

https://doi.org/10.17098/amj.365482

Abstract

Amaç:  Servikal
kanser taramasının amacı, servikal kanser ile ilişkili morbidite ve mortaliteyi
azaltmaktır. Araştırmamızda hastanemizin elektronik kayıtları retrospektif
olarak incelenerek servikal sitolojik anomalilerin sıklığının değerlendirilmesi
amaçlanmıştır.

Materyal ve Metot: Hastane elektronik kayıtlarından 2006-2015 yılları
arasında 54999 hastanın demografik verisine ve Pap-smear sonuçlarına
ulaşılmıştır.

Bulgular: Servikal sitolojik anomalilerin sıklığı %2,27; ASCUS, LSIL, HSIL
sıklığı sırasıyla; %1,29; %0,27; % 0,11 olduğu görüldü. Hastalarda HSIL
sıklığının en fazla olduğu yaş grubunun 71 yaş ve üzeri grup olduğu görüldü.

Sonuç: Türkiye’deki anormal servikal sitoloji sıklığı Avrupa, israil ve Kuzey
Amerika ile benzer bulunmuştur. 
Hastanemizin 10 yılı aşkın süredeki servikal sitoloji sonuçları dünyanın
birçok ülkesi ile uyumlu olsa da ileri yaş grubunda artmış anormal smear
sonuçlarına rastlanmıştır.

Keywords

Anormal servikal sitoloji, kanser taraması, Pap- smear, servikal prekanseröz lezyonlar

The Evaluation of Cervical Cytology Results in a Tertiary Health Centre Between 2006-2015

Abstract

Objectives: The main goal of cervical cancer cytologic screening is to prevent
mortality and morbidity associated with cervical cancer. We aimed to
retrospectively evaluate the prevalence of cervical cytological abnormalities
in patient records obtained from electronic data at our tertiary hospital.

Materials and Methods: Demographic characteristics and data on cervical cytological
abnormalities were evaluated from patients (n=54999) who underwent Pap tests in
our hospital from 2006 to 2015.

Results: Data were
collected from 54999 patients. Overall, the prevalence of cervical cytological
abnormalities was 2.27%; the prevalence of ASCUS, LSIL, and HSIL was 1.29%,
0.27% and 0.11%, respectively. The highest prevalence of HSIL was seen in the
group older than 71 years.

Conclusion: The abnormal cervical cytological prevalence rate in Turkey is similar
to Europe, Israel, and North America. The data from our hospital over 10 years
are compatible with data from various centres around the world and the country,
apart from the increase in the incidence of abnormal smears in older age
groups. 

Keywords

Abnormal cervical cytology, cancer screening, cervical precanserous lesions, Pap smear

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