Abstract
Amaç: Çalışmamızda 2012 yılında Düzce KETEM’e servikal kanser taraması için başvuran ve kolposkopik olarak değerlendirilen 68
olgunun sonuçlarını sunmayı amaçladık.
Gereç ve Yöntem: Bu tanımlayıcı retrospektif çalışmada Düzce KETEM’e 2012 yılında servikal kanser taraması için başvuran ve kolposkopi
endikasyonu konulan 30-65 yaş arası kadınlar değerlendirmeye alınmıştır. Kolposkopi endikasyonları servikal smearde
ASCUS ve üzeri lezyonlar, jinekolojik muayenede makroskopik olarak şüpheli lezyonlar, smear sonucuna bakılmaksızın post-koital
kanama anamnezi veren veya smearda tekrarlayan servikal inflamasyon görülen hastalar olarak belirlenmiştir. Hastalara yaş, sigara
kullanımı, doğum sayısı, doğum kontrol yöntemi ve eğitim düzeyleri sorulmuş ve kolposkopi sonuçlarının bunlarla bağlantısı
değerlendirilmiştir.
Bulgular: Çalışmamızda kolposkopi sonuçlarıyla yaş, doğum sayısı, doğum kontrol yöntemi, eğitim seviyesi ve sigara ile ilişkili
anlamlı bir istatistikî fark bulunmamıştır. Diğer yandan kolposkopi endikasyonunun sonuçlarla ilişkili en önemli faktör olduğu
gözlenmiştir.
Sonuç: Kolposkopik biyopsi sonuçlarında en önemli etken kolposkopi endikasyonunu belirleyen smear sonuçlarıdır
Keywords
References
- 1. Ferlay J. Shin HR, Bray F, et al. GLOBOCAN 2008 vl.2, Cancer incidence and Mortality Worldwide: IARC CancerBase No. Lyon, France: International Agency for Research on Cancer; 2010. Accessed January 23, 2012.
- 2. Gustafsson L, Ponten J, Bergstrom R, adami HO. International incidence rates of invasive cervical before cytologic screening. Int J Cancer. 1997;71:159-165.
- 3. Gustafsson L, Ponten J, Zack M, Adami HO. International incidence rates of invasive cervical cancer after introduction of cytological screening. Cancer Causes Control. 1997;8:755-763.
- 4. Parkin DM, Bray F. Chapter 2: The burden of HPV related cancers. Vaccine. 2006;24(suppl 3): S3/11-25.
- 5. Siegel R, Naishadham D, Jemal A. Cancer statistics,2012. CA Cancer J Clin. 2012;62:10-29.
- 6. American Cancer Society: Cancer Facts&Figures 2012. Atlanta, GA. American Cancer Society.
- 7. Baak JP, Kruse AJ, Robboy SJ, et al. (2006) Dynamic behavioural interpretation of cervical intraepithelial neoplasia with molecular biomarkers. J Clin Pathol 59: 1017-1028.
- 8. Nasiell K, Nasiell M, Vaclavinkova V (1983), Behavior of moderate cervical dysplasia during long-term follow-up. Obstet Gynecol 61:609-614.
- 9. Osttor AG, (1993) Natural history of cervical intraepithelial neoplasia: a critical review. Int J Gynecol Pathol 12 : 186-192.
- 10. Trimble CL, Piantadosi S, Gravitt P, et al. (2005) Spontaneous regression of high grade cervical dysplasia : effects of human papillomavirus type and HLA phenotype. Clin Cancer Res 11:4717-4723.
- 11. McCredie MR, Sharples KJ, Paul C, et al. (2008). Natural history of cervical neoplasia and risk of invasive cancer in women with cervical intraepithelial neoplasia 3: a retrospective cohort study. Lancet Oncol 9: 425-434
Abstract
Objective: We aimed to present the colposcopic results and related factors of 68 women who attend to KETEM for routine smear
screening.
Materials and Methods: The study population consisted of the women who attend to KETEM and refer for colposcopic evaluation
in 2012. Total of 68 women 30-65 years old included. Colposcopy endications have been described as ASCUS and higher lesions
at cervical smear, macroscopic suspicious lesions, post-coital bleeding history, and repeated cervical inflamation. The patients
have been asked about smoking, parity, contraception, level of education and evaluated the connection of colposcopic results.
Results: In our study, there is no significant difference for age, parity, method of contraception, level of education and smoking.
But endication of colposcopy has been found the most relevant factor for high grade lesions.
Conclusion: We concluded that endication of colposcopy has been found the most relevant factor for cervical cancer.
Keywords
References
- 1. Ferlay J. Shin HR, Bray F, et al. GLOBOCAN 2008 vl.2, Cancer incidence and Mortality Worldwide: IARC CancerBase No. Lyon, France: International Agency for Research on Cancer; 2010. Accessed January 23, 2012.
- 2. Gustafsson L, Ponten J, Bergstrom R, adami HO. International incidence rates of invasive cervical before cytologic screening. Int J Cancer. 1997;71:159-165.
- 3. Gustafsson L, Ponten J, Zack M, Adami HO. International incidence rates of invasive cervical cancer after introduction of cytological screening. Cancer Causes Control. 1997;8:755-763.
- 4. Parkin DM, Bray F. Chapter 2: The burden of HPV related cancers. Vaccine. 2006;24(suppl 3): S3/11-25.
- 5. Siegel R, Naishadham D, Jemal A. Cancer statistics,2012. CA Cancer J Clin. 2012;62:10-29.
- 6. American Cancer Society: Cancer Facts&Figures 2012. Atlanta, GA. American Cancer Society.
- 7. Baak JP, Kruse AJ, Robboy SJ, et al. (2006) Dynamic behavioural interpretation of cervical intraepithelial neoplasia with molecular biomarkers. J Clin Pathol 59: 1017-1028.
- 8. Nasiell K, Nasiell M, Vaclavinkova V (1983), Behavior of moderate cervical dysplasia during long-term follow-up. Obstet Gynecol 61:609-614.
- 9. Osttor AG, (1993) Natural history of cervical intraepithelial neoplasia: a critical review. Int J Gynecol Pathol 12 : 186-192.
- 10. Trimble CL, Piantadosi S, Gravitt P, et al. (2005) Spontaneous regression of high grade cervical dysplasia : effects of human papillomavirus type and HLA phenotype. Clin Cancer Res 11:4717-4723.
- 11. McCredie MR, Sharples KJ, Paul C, et al. (2008). Natural history of cervical neoplasia and risk of invasive cancer in women with cervical intraepithelial neoplasia 3: a retrospective cohort study. Lancet Oncol 9: 425-434
Details
| Other ID | JA24AA79FU |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | July 1, 2014 |
| Submission Date | July 1, 2014 |
| Published in Issue | Year 2014 Volume: 17 Issue: 3 |