THE ROLE OF ATYPICAL COLPOSCOPIC FINDINGS OF TRANSFORMATION ZONE IN LOCALIZING THE LESIONS

Year 1993, Volume: 46 Issue: 4, 601 - 608, 31.12.1994

İlkkan Dünder

Abstract

140 cases in which the appereance of cerviz in gynecological examination is suspicious were included to this study, A simultaneous
pap-smear with detailed cclposcopic examination was carried out on each case. Whenever the colposcopic anopearenco was abnormal and
pap-smear was positive, a biopsy specimen was taken from the suspected area in 44 cases. Different surgical procedures were carried out to 11 of these cases. Colposcopic appearence, pap-smear, biopsy and
the specimens from the surgical interventions were compared to find
the correlation between the cervical epithelial pathology and atypia
in colposcopic appereance. As a result, epitelial abnormality was
shown mostly in the area characterized with vascular atypia among
the other colposcopic examination findings (72,7 %).

Keywords

Cx , punch biopsy , pap-smear colposcopy

Project Number

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LEZYON LOKALIZASYONLARINI BELIRBLEMEDE, _ TRANSFORMASYON ZONUNDAKI ATIPiIK KOLPOSKOPIK GORUNUMLERIN ONEMI

Abstract

Bu ¢caliyma kapsamina iinekolojik muayene ile servikste patoloji suphe edilcn 149 vaka dahil! edildi. Bu vakalara Pap-smear taramasiyla birlikte kapceml kolposkojik muayene yanildi. Mclooskopik gértinumleri stoheli ve smearleri pszitif vakalardan youlencivilmis 44 vakadan biycpsi alind:, Olsulardan toplam 11’ine cesitli cerrahi girisimleruygularnci Uolposkovik séxtintimierle, histcpetolojik conuclar: karsillastirlarck hangi atipik kolposkopik gértntiimin epitel patolojisini daha iyi yensittigéi arastirildi. Sonug¢ olarak atipik vaskularizasyonun diger kolposkonik gértintimler icerisinde epitel atipisini en fazla yansittigzi tesbit edildi (% 72.7).

Keywords

Serviks , punch biopsi , pap-smear , kolposkopi

Ethical Statement

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Supporting Institution

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Project Number

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Thanks

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References

• 1.Abitol M Benjamin F Castillo N : Management of the abnormal cervical smear and carcinoma in situ of the cervix during pregnancy Am. J. Obstet Gynecol. 117, 904, 1973.
• 2.Benedet JL Boyes DA Nichols TM Millner A : Colposcepic evaluation of pregnant patients with abnormal cervical smear Br. J. Obstet Gynecol. 84: 517, 1977.
• 3.Benecet JL Anderson GH Boyes A: Colposcopic accuracy in the diagnosis of microinvasive and occult invasive carcinoma, cf the cervix, Obstet. Gynecol. 65, 557-1985.
• 4.Burgherdt E: Kolposkopie Spezielle Zervix-Pathologie Lehrbuch und Atlas Burgherdt E. (ed) George Thieme Verlag Stuttgart-New York, D. 7000-Stuttgart 30 Germany, 1984.
• 5.Burke L. Mathewes BE : Colposcopy in clinical practice Burke L. (ed). F.A. Davis Coucspany Philadelphia 1977.
• 6.De Patriltic AD Townsend DE Morrow CP et. al. : Colpcscopic evaluation of the abnormal Papanicolaou tesi in pregnancy Am. J. Obstet Gynecol, 121, 441, 1975.
• 7.Di Saia PJ Creasman TW : Colposcopy in Clinical Gynecologic Oncology Trumbold C led) The C.V. Mosby Company St. Louis Missouri 13-29, 1984. Giles JA Hudsoa E Crow J Williams D Walker P : Colposcopic assessment of the accurary of cervical cytclogy screening. Br. Med. J. 296, 1099, 1928, Homesley HD Jobson VW Reish RL: Use of colposcopically directed, four quandrant cervical biopsy by the colposcopy trainee, The Journal of Reproductive Medicine, 29, 311, 1984.
• 8.Giles JA Hudsoa E Crow J Williams D Walker P : Colposcopic assessment of the accurary of cervical cytclogy screening. Br. Med. J. 296, 1099, 1928,
• 9.Homesley HD Jobson VW Reish RL: Use of colposcopically directed, four quandrant cervical biopsy by the colposcopy trainee, The Journal of Reproductive Medicine, 29, 311, 1984.
• 10.Jordan JA : Colpcscopy, in the diagnosis of cervical cancer and precancer, Clinics in Obstetrics and Gynecology, 12, 67, 1985.
• 11.Kelley J Whitehouse HH Dillard EA : The colposcopy clinic in a residency training program five years experience with colposcopically directed biopsies followed by conization or hysterectomy The Journal of Reproductive Medicine, 28, 127, 1983.
• 12.Krumholz BA Knapp RC : Colpossopic selection of biopsy sites Obstet. Gynecol. 39, 22, 1972.
• 13.Limburgy H Saar H : Comparsion between cytology and colposcopy in the diagnosis of early cervical carcinoma Am. J. Obstet Gynecol 75, 1298, 1958.
• 14.Lurain JR, Gallup DG : Management of abnormal Papanicolaou smears in pregnancy Obstet Gynecol. 53, 484, 1979.
• 15.Lurain JR, Gallup DG : Management of abnormal Papanicolaou smears in pregnancy Obstet Gynecol. 53, 484, 1979.
• 16.Mostafa AS Vasques H Masri R.: Indications for and experience with colposcopy in the management of neoplasia of cervix Surg. Gynecol. and Obstet. 145, 529, 1977
• 17.Navratil E Burghardt E Basardi F Nash W : Simultaneous colposcopy and cyto- logy used in screening for carcinoma of the cervix Am. J. Obstet Gynecol. 73. 1292, 1958.
• 18.Ostergard DR Gondos B : Out patient therapy of preinvasive carvical neoplasia : Selection of patients with the use of colposcopy Am. J, Obstet Gynecol., 115, 783, 1973.
• 19.Ostergard DR Nieberg RK : Evaluation of abdominal cervical cytology during pregnancy with colposcopy Am. J. Obstet Gynecol. 134 : 756, 1979.
• 20Rochelson B Krumholz BA :; The «unsatisfactory» colposcopic examination The Journal of Repdocductive Medicine, 28, 131, 1983.
• 21.Rome RM Ucruyo R Nelson JH ; Observation on the surface area of the abnor- mal transformation zone associated with intraepithelial and early invasive squa- mous cell lesion of the cervix Am. J. Obstet. Gynecol,, 129, 565, 1977.
• 22.Shingleton HM Gore H Austin JM : Outpatient evaluation of patients with atypical Papanicolaou smears : Contrubution of endocervical curretage Am. J. Obstet Gynecol. 126, 122, 1976.
• 23.Stafl A Mattingly RF : Colposcopic diagnosis of cervical neoplasia, Obstet Gynecol. 41, 168, 1973.
• 24.Stafl A : Colposcopic; in Obstetrics and Gynecol. Danforsth DN. (ed) J.B. Lippincott Company Philadelphia 1986, p. 1957.
• 25.Stafl A Wilbanks GD : An international terminology of colposcopy : Report of nomenclature Comittee of the international Federation of cervical pathology and colposcopy Obstet. Gynecol. 77, 313. 1991.
• 26.Tovell HMM Banogan P Nash AD : Cytology and colposcopy in the diagnosis and management of preclinical carcinoma of the cervix uteri: A learning experience Am. J. Obstet Gynecol 124, 924, 1976.
• 27.Urcuyo R. Rome RM Nelson JH : Some observations on the value of endocervicalcurretage performed as an integral part of colposcopic examination of patients with abnormal cervical cytology Am. J. Obstet Gynecol .128, 787, 1981.
• 28.Wilbanks GD : Cervical Intraepithelial Neoplasia in : Sciarra Gynecology and Obstetrics Sciarra JJ. (ed) Harper Row Publishers, Philadelphia. Vol : 4 Chap : 4 1986.
• 29.Yavuz H : Kolposkopi-Kolpomikroskopi : Kadm Genital Kanserleri 118 - 129, Yargicoglu Matbaasi, Ankara, 1978.