Examination of Colposcopy Results Performed at a Single Tertiary Level Center
Abstract
Backround: Colposcopy is the evaluation of the lower genital system (cervix uteri, vagina and vulva) in women. Cervical cytology is the screening test for malignancy of the lower genital system, especially cervical cancers. An abnormality may be found in approximately 10% of patients undergoing cervical cytology and further investigation is required in these patients. At this stage, colposcopy is used.
Aim: The purpose of this study was to examine the results of colposcopy performed in Konya City Hospital.
Methods: In our clinic, which is a tertiary health center, 3% acetic acid is used during colposcopy examination and Shiller test is performed if necessary. Biopsies are performed in appropriate areas. In this study, colposcopy results performed over a 2 year period were examined retrospectively. During this review, 189 patient files were scanned. Demographic data, smear, human papillomavirus (HPV) and biopsy results were collected and analyzed from the patients' files.
Results: An abnormal pathology result was observed in 177 of the biopsies performed during the 189 colposcopy examinations. (Abnormal: atypical glandular cells, acanthosis, atypical squamous cells-cannot exclude high-grade squamous intraepithelial lesion, atrophic, erosion, high-grade squamous intraepithelial lesion, low-grade squamous intraepithelial lesion, squamous cell carcinoma, squamous metaplasia). Colposcopic biopsy results were normal in only 12 patients.
Conclusion: Risk-based management is recommended for the management of malignant or premalignant cervical lesions in women with or without HPV.
Keywords
Colposcopy, Human papilloma virrus, Pap Smear, Risk Based Management
Ethical Statement
Approval for this study was obtained from the Local Ethics Committee (9.30.2022 - 22/483) and all procedures complied with the provisions of the 1995 Declaration of Helsinki (Brazil as revised in 2013).
Thanks
Thanks to Caroline Jane WALKER for her help with English Grammar.
References
- Hinselmann H. Improvement of possibility of inspection of vulva, vagina and cervix uteri. München med Wschr. 1925;77:1733.
- Burness JV, Schroeder JM, Warren JB. Cervical colposcopy: Indications and risk assessment. American family physician. 2020;102(1):39-48.
- Boicea A, Patrascu A, Surlin V, Iliescu D, Schenker M, Chiutu L. Correlations between colposcopy and histologic results from colposcopically directed biopsy in cervical precancerous lesions. Rom J Morphol Embryol. 2012;53(3 Suppl):735-41.
- Rajakeerthana R, Swarnapriya K, Kavitha G. Comparison of Pap Smear and Colposcopy in the Evaluation of Unhealthy Cervix Among Women Visiting a Tertiary Care Center: A Hospital-based Descriptive Observational Study. Nepal Journal of Obstetrics and Gynaecology. 2023;18(1):13-9.
- Dash S, Sethy PK, Behera SK. Cervical Transformation Zone Segmentation and Classification based on Improved Inception-ResNet-V2 Using Colposcopy Images. Cancer Informatics. 2023;22:11769351231161477.
- Ureyen I, Toptas T, Uysal A. Is routine ECC necessary in patients with HPV16 and normal cytology? Diagnostic Cytopathology. 2018;46(12):1031-5.
- Massad LS, Perkins RB, Naresh A, Nelson EL, Spiryda L, Gecsi KS, et al. Colposcopy standards: guidelines for endocervical curettage at colposcopy. Journal of lower genital tract disease. 2023;27(1):97.
- Guido R, Perkins RB. Management of Abnormal Cervical Cancer Screening Test: A Risk-based Approach. Clinical Obstetrics and Gynecology. 2023;66(3):478-99.
- Nazeer S, Shafi MI. Objective perspective in colposcopy. Best Practice & Research Clinical Obstetrics & Gynaecology. 2011;25(5):631-40.
- Uner FO, Korukcu O. A qualitative exploration of fear of cancer recurrence in Turkish cancer survivors who were referred for colposcopy. Health & Social Care in the Community. 2021;29(3):729-37.