Yüksek dereceli skuamöz intraepitelyal lezyonun ekarte edilemediği atipik skuamöz hücreler (ASC-H): Sitomorfolojik özellikleri ve biopsi korelasyonu

Gözde Kır; Handan Çetiner; Ayşe Gürbüz; Ateş Karateke

doi:10.16948/zktb.50054

Atypical squamous cells cannot exclude highgrade squamous intraepithelial lesion (ASC-H) cytomorphologic features and biopsy correlation

Year 2003, Volume: 34 Issue: 4, 5 - 7, 01.05.2003

Gözde Kır Handan Çetiner Ayşe Gürbüz Ateş Karateke

Abstract

Objective : To determine the validity of "atypical cells cannot exclude high-grade intraepithelial lesion" which was included in 2001 Bethesda System. Materials and Methods: The results of 17 cases, which were diagnosedas "atypical squamous cells cannot exclude high grade intraepithelial lesion" and underwent colposcopic examination and biopsy from May 2002 to November 2003, were evaluated. Results: Of 17 cases, benign reactive changes were % 35, histologic CİN I and more severe lesions were 64%, histologic CİN II and more severe lesions were %52. Conclusion: We concluded that "atypical squamous cells cannot exclude high grade intraepithelial lesion" terminology has highpositive predictive value for CİN II and more severe lesions. We also agreed to the necessity of immediate colposcopic examination and biopsy.

Keywords

Carcinoma, Squamous Cell, Cervical Intraepithelial Neoplasia, Vaginal Smears, Biopsy

References

1. Selvaggi S M. 'Reporting of atypical squamous cells,.cannot exclude 'a high-grade squamous intraepithelial'le\sşiön(ASC-H) on cervical s amples: is it significant? Diagn Cytopathol2003; 29: 38-41
2. Alii P, Ali SZ. Atypical squamous cells of undetermined significance-rule out high-grade squamous intraepithe Hal lesion: cytopathologic charecteristics and clinical correlates. Diagn Cytopathol2003; 28: 308-12
3. Quddus MR, Sung CR, SteinhoffMM, Lauchlean SC, Singer DR, Hutchinson ML. Atypical squamous metaplastic cells. Reproducibility outcome and diagnostic features on thin-prep pap test. Cancer Cytopathol 2001; 93: 16-22
4. Sherman ME, Tabbara ME, Scott DR, Kurman RJ, Glass AG, Mono s MM, Rurk RD, Rush RR, Schiffman M. "ASCIIS rule out HSIL" cyto logic features, histologic correlates and human papiRoma virus detection. Mod Pathol 1999; 12: 335-42
5. Sherman ME, Solomon D, Schiffman M. ASCIIS LSIL Triage Study Group. Qualification ofASCUS
A comparison of equivocal LSIL and equivocal HSIL cervical cytology in the ASCUS LSIL triage study. Am J Clin Pathol 2001; 116: 386-94
6. Solomon D, Davey D, Kurman R, Moriarty A, O'ConnerD, PreyM, Raab S, Sherman M, Wilbur D, Wright TC, Young N. The 2001 Rethesda System: terminologyfir reporting res ults of cervical ecology
JAMA 2002; 287: 2114-9
7. GenestDR, DeanR, Lee KR, ShoutE, Crum C Cibas ES. Qualfiying a cytologic diagnosis of' "atypical squamouis cells of undetermined significance" affects the predictive value of a squamous intraepithe Hal lesion on subsequent biopsy. Arch Pathol Lab Med 1998; 122: 338-41
8. Collins LC, Wang HH, Abu-J awdeh GM. Qualifier of atypical squamous cells of undetermined significance help in patients management. Mod Pathol 1996; 9: 677-81
9. Taylor RR, GuerrieriJP, NashJD, Henry MR, O'Conner DM. Atypical cervical cytology: colposcopic follow-up using the Rethesda System, f ReprodMed 1994; 38: 443-7
10. LauroAP, Robersonf, Eltaum I, Chhieng DC
Atypical squamous cells cannot exclude high- grade squamous intraepithe lial lesion. A follow-up s tudy of conventional and liquid-bas e d preperations in a high-risk population. Am f Clin Pathol 2003; 120: 392-7

Yüksek dereceli skuamöz intraepitelyal lezyonun ekarte edilemediği atipik skuamöz hücreler (ASC-H): Sitomorfolojik özellikleri ve biopsi korelasyonu

Year 2003, Volume: 34 Issue: 4, 5 - 7, 01.05.2003

Gözde Kır Handan Çetiner Ayşe Gürbüz Ateş Karateke

Abstract

Amaç: Bethesda Sistem 2001'de oluşturulan "yüksek dereceli skuamöz intraepitelyal lezyonun ekarte edilemediği atipik skuamöz hücreler " sitolojik tanımının değerini araştırmak. Materyal ve Metod: Mayıs 2002- Kasım 2003 tarihleri arasında "yüksek dereceli skuamöz intraepitelyal lezyonun ekarte edilemediği atipik skuamöz hücreler" tanısı alarak kolposkopi ve biopsi yapılan 17 olgunun sonuçları irdelendi. Bulgular 17 olgunun biopsi sonuçlarmda % 35 oranında benignreaktif değişiklikler, % 64 CIN I ve üzeri lezyonlar, % 52 oranında CİN II ve üzeri lezyonlar saptandı. Sonuçlar 'Yüksek dereceli skuamöz intraepitelyal lezyonun ekarte edilemediği atipik skuamöz hücreler" tanımının CİN II ve üzeri lezyonlar için yüksek pozitif öngörücü değere sahip olduğ sonucuna vardık. Bu gruba vakit kaybetmeden kolposkopi ve biopsi yapılması gerekliliğine katildik

Keywords

Karsinom, yassı hücreli, Servikal intraepitelyal neoplazi, Vajinal smirler, Biyopsi

References

1. Selvaggi S M. 'Reporting of atypical squamous cells,.cannot exclude 'a high-grade squamous intraepithelial'le\sşiön(ASC-H) on cervical s amples: is it significant? Diagn Cytopathol2003; 29: 38-41
2. Alii P, Ali SZ. Atypical squamous cells of undetermined significance-rule out high-grade squamous intraepithe Hal lesion: cytopathologic charecteristics and clinical correlates. Diagn Cytopathol2003; 28: 308-12
3. Quddus MR, Sung CR, SteinhoffMM, Lauchlean SC, Singer DR, Hutchinson ML. Atypical squamous metaplastic cells. Reproducibility outcome and diagnostic features on thin-prep pap test. Cancer Cytopathol 2001; 93: 16-22
4. Sherman ME, Tabbara ME, Scott DR, Kurman RJ, Glass AG, Mono s MM, Rurk RD, Rush RR, Schiffman M. "ASCIIS rule out HSIL" cyto logic features, histologic correlates and human papiRoma virus detection. Mod Pathol 1999; 12: 335-42
5. Sherman ME, Solomon D, Schiffman M. ASCIIS LSIL Triage Study Group. Qualification ofASCUS
A comparison of equivocal LSIL and equivocal HSIL cervical cytology in the ASCUS LSIL triage study. Am J Clin Pathol 2001; 116: 386-94
6. Solomon D, Davey D, Kurman R, Moriarty A, O'ConnerD, PreyM, Raab S, Sherman M, Wilbur D, Wright TC, Young N. The 2001 Rethesda System: terminologyfir reporting res ults of cervical ecology
JAMA 2002; 287: 2114-9
7. GenestDR, DeanR, Lee KR, ShoutE, Crum C Cibas ES. Qualfiying a cytologic diagnosis of' "atypical squamouis cells of undetermined significance" affects the predictive value of a squamous intraepithe Hal lesion on subsequent biopsy. Arch Pathol Lab Med 1998; 122: 338-41
8. Collins LC, Wang HH, Abu-J awdeh GM. Qualifier of atypical squamous cells of undetermined significance help in patients management. Mod Pathol 1996; 9: 677-81
9. Taylor RR, GuerrieriJP, NashJD, Henry MR, O'Conner DM. Atypical cervical cytology: colposcopic follow-up using the Rethesda System, f ReprodMed 1994; 38: 443-7
10. LauroAP, Robersonf, Eltaum I, Chhieng DC
Atypical squamous cells cannot exclude high- grade squamous intraepithe lial lesion. A follow-up s tudy of conventional and liquid-bas e d preperations in a high-risk population. Am f Clin Pathol 2003; 120: 392-7

There are 13 citations in total.

Details

Primary Language	Turkish
Journal Section	Articles
Authors	Gözde Kır This is me Handan Çetiner This is me Ayşe Gürbüz This is me Ateş Karateke This is me
Publication Date	May 1, 2003
Published in Issue	Year 2003 Volume: 34 Issue: 4

Cite

APA	Kır, G., Çetiner, H., Gürbüz, A., Karateke, A. (2003). Yüksek dereceli skuamöz intraepitelyal lezyonun ekarte edilemediği atipik skuamöz hücreler (ASC-H): Sitomorfolojik özellikleri ve biopsi korelasyonu. Zeynep Kamil Tıp Bülteni, 34(4), 5-7. https://doi.org/10.16948/zktb.50054
AMA	Kır G, Çetiner H, Gürbüz A, Karateke A. Yüksek dereceli skuamöz intraepitelyal lezyonun ekarte edilemediği atipik skuamöz hücreler (ASC-H): Sitomorfolojik özellikleri ve biopsi korelasyonu. Zeynep Kamil Tıp Bülteni. May 2003;34(4):5-7. doi:10.16948/zktb.50054
Chicago	Kır, Gözde, Handan Çetiner, Ayşe Gürbüz, and Ateş Karateke. “Yüksek Dereceli skuamöz Intraepitelyal Lezyonun Ekarte edilemediği Atipik skuamöz hücreler (ASC-H): Sitomorfolojik özellikleri Ve Biopsi Korelasyonu”. Zeynep Kamil Tıp Bülteni 34, no. 4 (May 2003): 5-7. https://doi.org/10.16948/zktb.50054.
EndNote	Kır G, Çetiner H, Gürbüz A, Karateke A (May 1, 2003) Yüksek dereceli skuamöz intraepitelyal lezyonun ekarte edilemediği atipik skuamöz hücreler (ASC-H): Sitomorfolojik özellikleri ve biopsi korelasyonu. Zeynep Kamil Tıp Bülteni 34 4 5–7.
IEEE	G. Kır, H. Çetiner, A. Gürbüz, and A. Karateke, “Yüksek dereceli skuamöz intraepitelyal lezyonun ekarte edilemediği atipik skuamöz hücreler (ASC-H): Sitomorfolojik özellikleri ve biopsi korelasyonu”, Zeynep Kamil Tıp Bülteni, vol. 34, no. 4, pp. 5–7, 2003, doi: 10.16948/zktb.50054.
ISNAD	Kır, Gözde et al. “Yüksek Dereceli skuamöz Intraepitelyal Lezyonun Ekarte edilemediği Atipik skuamöz hücreler (ASC-H): Sitomorfolojik özellikleri Ve Biopsi Korelasyonu”. Zeynep Kamil Tıp Bülteni 34/4 (May 2003), 5-7. https://doi.org/10.16948/zktb.50054.
JAMA	Kır G, Çetiner H, Gürbüz A, Karateke A. Yüksek dereceli skuamöz intraepitelyal lezyonun ekarte edilemediği atipik skuamöz hücreler (ASC-H): Sitomorfolojik özellikleri ve biopsi korelasyonu. Zeynep Kamil Tıp Bülteni. 2003;34:5–7.
MLA	Kır, Gözde et al. “Yüksek Dereceli skuamöz Intraepitelyal Lezyonun Ekarte edilemediği Atipik skuamöz hücreler (ASC-H): Sitomorfolojik özellikleri Ve Biopsi Korelasyonu”. Zeynep Kamil Tıp Bülteni, vol. 34, no. 4, 2003, pp. 5-7, doi:10.16948/zktb.50054.
Vancouver	Kır G, Çetiner H, Gürbüz A, Karateke A. Yüksek dereceli skuamöz intraepitelyal lezyonun ekarte edilemediği atipik skuamöz hücreler (ASC-H): Sitomorfolojik özellikleri ve biopsi korelasyonu. Zeynep Kamil Tıp Bülteni. 2003;34(4):5-7.