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Cervical screening in pregnant patients

Year 2003, Volume: 34 Issue: 1, 7 - 11, 01.02.2003

Abstract

To determine the prevalance of cervical lesions of pregnant women in the Turkish population and to contribute to the formation of a national screening program in the general population. Material Method: To determine the relation-ship between pregnancy and cervical cancer cervical smear was obtained from 812 random-ly selected patients who applied to the our maternity clinic. Results: Normal cervical findings were present in (n=212) %26.1 of the patients, whereas %2.46 (n=20)of the patients revealed reactive and repetetive changes, (n=7) %0,086 revealed ASCUS, %0.049 (n=4) had SIL (with HPV findings) and (n=l) % 0.012 had invasive carsinoma of the cervix. Conclusion: The epitelial changes in the gravid cervix and the early diagnosis of inva-sive cervical cancer is possible with PAP smear, which is an effective population screening test.

References

  • 1. Williams SF,Bitran JD:Cancer and preg-nancy.Clin Perinatol 1985;12:609
  • 2. Hacker NF,Berek JS,Lagasse LDxarsinoma of the cervix associated with pregnancy Obstet.Gynecol 1982 ;59:735
  • 3. National Cancer Institude : Cancer Statistics Review 1973-1987.Bethesta,NCL Publication No: (N1H)199O; 90:2789
  • 4. Di-Saia P, Crasman W. Preinvasive disease of the cervix. Clinical Gynecologic Oncology.Fourth ed. Baltimore Williams &Wilkins,1993;l: 10-11
  • 5. Eddy DM: Screening for cervical cancer. Annuals of Internal Medicine 1990;113: 214-226
  • 6. Boutselis JG. Intraepitelial carsinoma of the cervix associated with pregnancy. Obstet Gynecol 1972 ;40: 657-666
  • 7. Kashimura M, Matsuura Y, Shinohara M: Comporative study of cytology and punch biopsy in cervical intraepitelial neoplasia during pregnancy. Acta Cytologica,1991;35:l-5
  • 8. Fowler WC Jr, Walton La, Edelman DA. Cervical intraepitelial neoplasia during preg-nancy.South Med J.1980;73: 1180-1185
  • 9. La Polla JP, O'Neil C, Wetrich D. Colposcopic management of abnormal cervical cytology in pregnancy. J Reprod Med 1988;33: 301-306
  • 10. DePetrillo AD, Townsend DE, Morrow CP, Lickrish GM. Papanicolaou test in pregnancy. Am J Obstet Gynecol 1975;121: 441-445
  • 11. Smith Mr, Figge DC, Bennington JL. The diagnosis of cervical cancer during pregnancy. Obstet Gynecol 1968 ;31: 193-197
  • 12. Wied GL. Epitelial abnormalities on the ectocervix during pregnancy. J Reprod Med 1970;4: 13-73
  • 13. Bozkurt S. Jinekolojik onkolojide servikovaginal sitoloji. Atasu T, Aydınlı K; editors. Jinekolojik Onkoloji. Istanbul: Logos, 1996;12: 182-191
  • 14. Kuquchi K,Bibbo M,Hasegawa T: Displasia during pregnancy:a cytologic follow up studyj Reprod Med 1981; 26:66-70
  • 15. Burghardt E. Histopathology of cervical epitelium. Colposcopy -Cervical pathology textbook and atlas. Second ed. Thieme Sturrgart-New York.l981;3: 32-39
  • 16. Dudkiewicz J, Waksmanski B, Cieslak-Stec M, Korzeniowska-Kumaszka E. (Analysis of clinical usefulness of the cytologic smear results for pregnant women using the Bethesda system) Ginekol Pol 2002;73(4): 314-9
  • 17. Bertini-Oliveira AM, Keppler MM, Luisi A, Tarico S, Lopes VLD, Delascio L Comporative evaluation of abnormal cytology in histopathology in preclinical cervical during pregnancy. Acta Cytol 1982;26: 636-644
  • 18. Sail S,Rini S,Pineda A: Surgical management of invazive carcinoma of the cervix in pregnancy Am j Obstet Gynecol 1974 ;118:1-9
  • 19. Mork BJ,Montz FJ.Invazive cervical cancer complicating intrauterine pregnancy :Treatment with radical hysterectomy.Obstet Gynecol 1992;80:199-205
  • 20. Lutz MH, Underwood PB, Roizer JC. Genital malignancy in pregnancy. Am J Obstet Gynecol 1977;129: 536-40
  • 21. Hoosen AA, Ross SM, Mulla MJ, Patel M. The incidance of selected vaginal infections among pregnant urban blacks. S Afr Med 1981;30 :827-9-14
  • 22. Wilson JD, Robinson Aj, Kinghorn SA, Hicks DA. Implications of inflammatory changes on cervical cytology. Br Med J. 1990;300: 638-640
  • 23. MathewR, KalyaniJ, BibiR, MallikaM. Prevalence of bacterial vaginosis in antenatal women. Indian J Pathol Microbiol 2001 Apr;44(2): 113-6
  • 24. Jimenez Cordera AA, de Alba EGE. Colposcytology pregnancy. Gynecol Obstet Mexico 1995;63: 33-7
  • 25. Malone JM, Sokol RJ, Ager JW. Pregnancy, human papillomavirus and cervical intraepitelial neoplasia. Eur J Gyneacol Oncol 1988;9: 120-4
  • 26. Soost HJ, Lange HJ, Lehmacher W, Ruffing Kullmann B. The validation of cervi-calcytology: sensivity, specivity, and predictive values. Acta Cytol 1991;35: 8-16.

Gebelerde servikal smear taraması

Year 2003, Volume: 34 Issue: 1, 7 - 11, 01.02.2003

Abstract

Amaç: Türk toplumunda gebe populasyondaki servikal lezyonlarm sıklığını saptamak, ve genel populasyonda ulusal bir tarama programı oluşmasına katkıda bulunmaktır. Materyal Metod: Zeynep Kamil Kadın ve Çocuk Hastalıkları Hastanesi Kadın Doğum Antenatal polikliniğine başvuran 812 gebe hastaya gebelik serviks kanseri ilişkisini saptamak üzere PAP smear uygulandı. Bulgular: 812 gebeden n=212 (%26.1) inde normal bulgular saptanırken, n= 568 % 69.95'inde enfeksiyon, n=(20) %2.67'sinde reaktif ve repetetif değişiklikler, (n=7) %0.086'sında ASCUS, (n=4) % 0.049 'unda SlL (HPV ile uyumlu ), (n=l) %0.012'sinde ise invazif serviks karsinomu saptandı. Sonuç : Gebelikte serviksteki epitelyal deği siklikler ve invazif serviks kanserinin erken tanısı bir kitle tarama testi olan PAP smear ile mümkündür.

References

  • 1. Williams SF,Bitran JD:Cancer and preg-nancy.Clin Perinatol 1985;12:609
  • 2. Hacker NF,Berek JS,Lagasse LDxarsinoma of the cervix associated with pregnancy Obstet.Gynecol 1982 ;59:735
  • 3. National Cancer Institude : Cancer Statistics Review 1973-1987.Bethesta,NCL Publication No: (N1H)199O; 90:2789
  • 4. Di-Saia P, Crasman W. Preinvasive disease of the cervix. Clinical Gynecologic Oncology.Fourth ed. Baltimore Williams &Wilkins,1993;l: 10-11
  • 5. Eddy DM: Screening for cervical cancer. Annuals of Internal Medicine 1990;113: 214-226
  • 6. Boutselis JG. Intraepitelial carsinoma of the cervix associated with pregnancy. Obstet Gynecol 1972 ;40: 657-666
  • 7. Kashimura M, Matsuura Y, Shinohara M: Comporative study of cytology and punch biopsy in cervical intraepitelial neoplasia during pregnancy. Acta Cytologica,1991;35:l-5
  • 8. Fowler WC Jr, Walton La, Edelman DA. Cervical intraepitelial neoplasia during preg-nancy.South Med J.1980;73: 1180-1185
  • 9. La Polla JP, O'Neil C, Wetrich D. Colposcopic management of abnormal cervical cytology in pregnancy. J Reprod Med 1988;33: 301-306
  • 10. DePetrillo AD, Townsend DE, Morrow CP, Lickrish GM. Papanicolaou test in pregnancy. Am J Obstet Gynecol 1975;121: 441-445
  • 11. Smith Mr, Figge DC, Bennington JL. The diagnosis of cervical cancer during pregnancy. Obstet Gynecol 1968 ;31: 193-197
  • 12. Wied GL. Epitelial abnormalities on the ectocervix during pregnancy. J Reprod Med 1970;4: 13-73
  • 13. Bozkurt S. Jinekolojik onkolojide servikovaginal sitoloji. Atasu T, Aydınlı K; editors. Jinekolojik Onkoloji. Istanbul: Logos, 1996;12: 182-191
  • 14. Kuquchi K,Bibbo M,Hasegawa T: Displasia during pregnancy:a cytologic follow up studyj Reprod Med 1981; 26:66-70
  • 15. Burghardt E. Histopathology of cervical epitelium. Colposcopy -Cervical pathology textbook and atlas. Second ed. Thieme Sturrgart-New York.l981;3: 32-39
  • 16. Dudkiewicz J, Waksmanski B, Cieslak-Stec M, Korzeniowska-Kumaszka E. (Analysis of clinical usefulness of the cytologic smear results for pregnant women using the Bethesda system) Ginekol Pol 2002;73(4): 314-9
  • 17. Bertini-Oliveira AM, Keppler MM, Luisi A, Tarico S, Lopes VLD, Delascio L Comporative evaluation of abnormal cytology in histopathology in preclinical cervical during pregnancy. Acta Cytol 1982;26: 636-644
  • 18. Sail S,Rini S,Pineda A: Surgical management of invazive carcinoma of the cervix in pregnancy Am j Obstet Gynecol 1974 ;118:1-9
  • 19. Mork BJ,Montz FJ.Invazive cervical cancer complicating intrauterine pregnancy :Treatment with radical hysterectomy.Obstet Gynecol 1992;80:199-205
  • 20. Lutz MH, Underwood PB, Roizer JC. Genital malignancy in pregnancy. Am J Obstet Gynecol 1977;129: 536-40
  • 21. Hoosen AA, Ross SM, Mulla MJ, Patel M. The incidance of selected vaginal infections among pregnant urban blacks. S Afr Med 1981;30 :827-9-14
  • 22. Wilson JD, Robinson Aj, Kinghorn SA, Hicks DA. Implications of inflammatory changes on cervical cytology. Br Med J. 1990;300: 638-640
  • 23. MathewR, KalyaniJ, BibiR, MallikaM. Prevalence of bacterial vaginosis in antenatal women. Indian J Pathol Microbiol 2001 Apr;44(2): 113-6
  • 24. Jimenez Cordera AA, de Alba EGE. Colposcytology pregnancy. Gynecol Obstet Mexico 1995;63: 33-7
  • 25. Malone JM, Sokol RJ, Ager JW. Pregnancy, human papillomavirus and cervical intraepitelial neoplasia. Eur J Gyneacol Oncol 1988;9: 120-4
  • 26. Soost HJ, Lange HJ, Lehmacher W, Ruffing Kullmann B. The validation of cervi-calcytology: sensivity, specivity, and predictive values. Acta Cytol 1991;35: 8-16.
There are 26 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Serap Yaltı This is me

Güler Altıntepe This is me

Vedat Dayıcıoğlu This is me

Publication Date February 1, 2003
Published in Issue Year 2003 Volume: 34 Issue: 1

Cite

APA Yaltı, S., Altıntepe, G., & Dayıcıoğlu, V. (2003). Gebelerde servikal smear taraması. Zeynep Kamil Tıp Bülteni, 34(1), 7-11. https://doi.org/10.16948/zktb.87928
AMA Yaltı S, Altıntepe G, Dayıcıoğlu V. Gebelerde servikal smear taraması. Zeynep Kamil Tıp Bülteni. February 2003;34(1):7-11. doi:10.16948/zktb.87928
Chicago Yaltı, Serap, Güler Altıntepe, and Vedat Dayıcıoğlu. “Gebelerde Servikal Smear Taraması”. Zeynep Kamil Tıp Bülteni 34, no. 1 (February 2003): 7-11. https://doi.org/10.16948/zktb.87928.
EndNote Yaltı S, Altıntepe G, Dayıcıoğlu V (February 1, 2003) Gebelerde servikal smear taraması. Zeynep Kamil Tıp Bülteni 34 1 7–11.
IEEE S. Yaltı, G. Altıntepe, and V. Dayıcıoğlu, “Gebelerde servikal smear taraması”, Zeynep Kamil Tıp Bülteni, vol. 34, no. 1, pp. 7–11, 2003, doi: 10.16948/zktb.87928.
ISNAD Yaltı, Serap et al. “Gebelerde Servikal Smear Taraması”. Zeynep Kamil Tıp Bülteni 34/1 (February 2003), 7-11. https://doi.org/10.16948/zktb.87928.
JAMA Yaltı S, Altıntepe G, Dayıcıoğlu V. Gebelerde servikal smear taraması. Zeynep Kamil Tıp Bülteni. 2003;34:7–11.
MLA Yaltı, Serap et al. “Gebelerde Servikal Smear Taraması”. Zeynep Kamil Tıp Bülteni, vol. 34, no. 1, 2003, pp. 7-11, doi:10.16948/zktb.87928.
Vancouver Yaltı S, Altıntepe G, Dayıcıoğlu V. Gebelerde servikal smear taraması. Zeynep Kamil Tıp Bülteni. 2003;34(1):7-11.