KOLPOSKOPİ UYGULANAN OLGULARIN SOSYODEMOGRAFİK ÖZELLİKLERİNİN SERVİKAL BİYOPSİ SONUÇLARIYLA KORELASYONU
Abstract
Amaç: Sunulan çalışma, servikal sitoloji anormalliği veya vulvar,
vajinal ve servikal lezyon varlığı nedeniyle kolposkopi uygulanan olguların
sosyodemografik özelliklerini ve sosyodemografik özelliklerinin
kolposkopi sırasında alınan servikal biyopsi sonuçlarıyla korelasyonunu
değerlendirmeyi amaçlamaktadır.
Gereç ve Yöntem: Ocak 2011 ve Haziran 2012 tarihleri arasında,
Antalya KETEM’nde, servikal sitoloji anormalliği veya vulvar, vajinal
ve servikal lezyon varlığı nedeniyle kolposkopi uygulanan ve kolposkopi
incelemesinin yeterli olarak kabul edildiği 301 kadın geriye dö-
nük olarak değerlendirildi.
Bulgular: Kolposkopi eşliğinde alınan servikal biyopsi sonucu
normal olarak rapor edilen olgularla kıyaslandığında pre-invazif ve
invazif servikal lezyon belirlenen olguların ortalama yaşı anlamlı olarak
yüksekti (p=0.036). Bundan başka, pre-invazif ve invazif servikal
hastalığı bulunan olgularda ortalama ilk koitus yaşı ve evli olma oranı
anlamlı olarak daha düşüktü (sırasıyla p=0.001 ve p=0.002). Ayrıca,
servikal patoloji saptanan olgularda düşük öğrenim düzeyi ve sigara
alışkanlığı anlamlı olarak daha sık bulundu (sırasıyla p=0.040 ve
p=0.044).
Sonuç: Literatürle uyumlu olarak, sunulan çalışmada da, pre-invazif
ve invazif servikal patoloji belirlenen kadınlarda ilk koitus yaşı-
nın, evlilik oranının, sigara içmeme alışkanlığının ve yüksek öğrenim
sıklığının daha düşük olduğu belirlenmiştir. Servikal biyopsi alınırken
pre-invazif ve invazif serviks patolojileri için risk etkenleri mutlaka
dikkate alınmalıdır.
Keywords
References
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- 4. Schwaiger C, Aruda M, LaCoursiere S, Rubin R. Current guidelines for cervical cancer screening. J Am Acad Nurse Pract 2012; 24(7): 417-24.
- 5. Moyer VA; U.S. Preventive Services Task Force. Screening for cervical cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 2012; 156(12): 880-91.
- 6. Benedet J, Matisic J, Bertrand M. An analysis of 84,244 patients from the British Columbia cytology–colposcopy program: Gynecologic Oncology 2004; 92: 127–34.
- 7. ValdespinoVM, Valdespino VE. Cervical cancer screening: state of the art Cervical cancer screening: state of the art. Current Opinion in Obstetrics and Gynecology 2006, 18: 35–40.
- 8. Sigurdsson K, Sigvaldason H. Longitudinal trends in cervical cytological lesions and the effect of risk factors.
- A 30 year overview. Acta Obstet Gynecol Scand 2006; 85: 350-8.
- 9. Davey DD, Neal MH, Wilbur DC, Colgan TJ, Styer PE, Mody DR. Bethesda 2001 implementation and reporting rates: 2003 practices of participants in the College of American Pathologists Interlaboratory Comparison Program in Cervicovaginal Cytology. Arch Pathol Lab Med 2004; 128: 1224-9.
- 10. Turkish Cervical Cancer and Cervical Cytology Research Group. Prevalence of cervical cytological abnormalities in Turkey. International Journal of Gynecology and Obstetrics 2009; 106: 206-9.
- 11. Keskin HL, Seçen E‹, Tafl EE, Kaya S, Avsar AF. Servikal smear sitolojisiyle kolposkopi eflli¤inde servikal biyopsi korelasyonu. Türk Jinekoloji Onkoloji Dergisi 2011(3): 71-5.
- 12. Nanda K, McCrory DC, Myers ER, et al. Accuracy of the Papanicolaou test in screening for and follow-up of cervical cytologic abnormalities: A systematic review. Ann Intern Med 2000; 132: 810–9.
- 13. Mete Ö, Yavuz E, Tuzlal_ S ve ark. Kolposkopik biopsi yap›lan 112 hastan›n retrospektif incelenmesi: Sitolojik bulgular›n histoloji ile karfl›laflt›r›lmas›. Turkish Journal of Pathology 2007; 23: 33-7.
- 14. Kumar V, Abbas AK, Fausto N, Mitchell RN. Cervical cancer. In: Robbins Basic Pathology (8th ed.), Saunders Elsevier, 2007, pages 718–21.
- 15. Rock JA, Jones H.W. Cervical cancer. In: Te Linde’s Operative Gynecology (9th ed.), Wolters Kluwer Health/Lippincott Williams & Wilkins, 2005, pages 1231-1254
Abstract
Objective: The present study aims to assess the correlations
between sociodemographic characteristics and cervical biopsy results
of the women who underwent colposcopic examination due to the
abnormalities of cervical cytology and the existence of vulvar, vaginal
and cervical lesions.
Methods: This study retrospectively reviews 301 women who
underwent colposcopy at Antalya KETEM between January 2011 and
June 2012.
Results: The sociodemographic characteristics of 199 women
with normal cervical biopsy results were compared with those of 102
women who had pre-invasive and invasive cervical pathologies. The
women with pre-invasive and invasive cervical pathologies were
found to be significantly older (p=0.036). In contrast, they were significantly
younger at their first sexuel intercourse and the ratio of marriage
was significantly less for them (p=0.001 and p=0.002 respectively).
Moreover, the frequency of lesser education and smoking habit
were significantly higher among the women with pre-invasive and
invasive cervical pathologies (p=0.040 and p=0.044 respectively).
Conclusions: In accordance with literature, the present study
adresses lower age for first sexual intercourse, marital status (as single),
lower socioeconomic status and smoking as risk factors for preinvasive
and invasive cervical pathologies. These risk factors should
be taken into account when decisions are made about the individuals
from whom cervical biopsy would be acquired.
Keywords
References
- 1. Jemal A, Bray F, Center M, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin 2011; 61: 69–90.
- 2. Reis LA, Melbert D, Krapcho M, Stinchcombe DG, Howlader N, Horner MJ, et al, editors. SEER cancer statistics review, 1975–2006. Bethesda (MD): National Cancer Institute; 2009.
- 3. Boone JD, Erickson BK, Huh WK. New insights into cervical cancer screening. J Gynecol Oncol 2012; 23(4): 282-7.
- 4. Schwaiger C, Aruda M, LaCoursiere S, Rubin R. Current guidelines for cervical cancer screening. J Am Acad Nurse Pract 2012; 24(7): 417-24.
- 5. Moyer VA; U.S. Preventive Services Task Force. Screening for cervical cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 2012; 156(12): 880-91.
- 6. Benedet J, Matisic J, Bertrand M. An analysis of 84,244 patients from the British Columbia cytology–colposcopy program: Gynecologic Oncology 2004; 92: 127–34.
- 7. ValdespinoVM, Valdespino VE. Cervical cancer screening: state of the art Cervical cancer screening: state of the art. Current Opinion in Obstetrics and Gynecology 2006, 18: 35–40.
- 8. Sigurdsson K, Sigvaldason H. Longitudinal trends in cervical cytological lesions and the effect of risk factors.
- A 30 year overview. Acta Obstet Gynecol Scand 2006; 85: 350-8.
- 9. Davey DD, Neal MH, Wilbur DC, Colgan TJ, Styer PE, Mody DR. Bethesda 2001 implementation and reporting rates: 2003 practices of participants in the College of American Pathologists Interlaboratory Comparison Program in Cervicovaginal Cytology. Arch Pathol Lab Med 2004; 128: 1224-9.
- 10. Turkish Cervical Cancer and Cervical Cytology Research Group. Prevalence of cervical cytological abnormalities in Turkey. International Journal of Gynecology and Obstetrics 2009; 106: 206-9.
- 11. Keskin HL, Seçen E‹, Tafl EE, Kaya S, Avsar AF. Servikal smear sitolojisiyle kolposkopi eflli¤inde servikal biyopsi korelasyonu. Türk Jinekoloji Onkoloji Dergisi 2011(3): 71-5.
- 12. Nanda K, McCrory DC, Myers ER, et al. Accuracy of the Papanicolaou test in screening for and follow-up of cervical cytologic abnormalities: A systematic review. Ann Intern Med 2000; 132: 810–9.
- 13. Mete Ö, Yavuz E, Tuzlal_ S ve ark. Kolposkopik biopsi yap›lan 112 hastan›n retrospektif incelenmesi: Sitolojik bulgular›n histoloji ile karfl›laflt›r›lmas›. Turkish Journal of Pathology 2007; 23: 33-7.
- 14. Kumar V, Abbas AK, Fausto N, Mitchell RN. Cervical cancer. In: Robbins Basic Pathology (8th ed.), Saunders Elsevier, 2007, pages 718–21.
- 15. Rock JA, Jones H.W. Cervical cancer. In: Te Linde’s Operative Gynecology (9th ed.), Wolters Kluwer Health/Lippincott Williams & Wilkins, 2005, pages 1231-1254
Details
| Other ID | JA82EF75GG |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | April 1, 2013 |
| Submission Date | April 1, 2013 |
| Published in Issue | Year 2013 Volume: 16 Issue: 2 |