Üçüncü Basamak Bir Merkezde Yapılan Kolposkopi Sonuçlarının İncelenmesi

Yıl 2024, Cilt: 34 Sayı: 3, 365 - 370, 30.06.2024

Oğuzhan Günenc Emre Uysal

https://doi.org/10.54005/geneltip.1438632

Öz

Arkaplan: Kolposkopi kadınlarda alt genital sistemin (serviks uteri, vajina ve vulva) değerlendirilmesidir. Servikal sitoloji, alt genital sistemdeki malignitelerin, özellikle de rahim ağzı kanserlerinin tarama testidir. Servikal sitoloji yapılan hastaların yaklaşık %10'unda anormallik bulunabilir ve bu hastalarda ileri tetkik yapılması gerekir. Bu aşamada kolposkopiye başvurulur.
Amaç: Bu çalışmanın amacı, üçüncü basamak bir hastane olan XXXX Hastanesi'ndeki yapılan kolposkopi sonuçlarını incelemektir.
Metod: Üçüncü basamak bir sağlık merkezi olan kliniğimizde, kolposkopi incelemesi sırasında, %3 asetik asit kullanılmaktadır ve gerekli görülürse Shiller test yapılmaktadır. Uygun görülen yerlerden biyopsi yapılmaktadır. Bu çalışmada 2 yıllık süreçte yapılan kolposkopi sonuçları retrospektif olarak incelendi. Bu inceleme ırasında 189 hasta dosyası tarandı. Hastaların dosyalarından, demografik veriler, smear, human papilloma virüsü (HPV) ve biyopsi sonuçları toplanarak analiz edildi.
Bulgular: Yapılmış olan 189 kolposkopi incelemesi sırasında yapılan biyopsilerden 177'sinde anormal bir patoloji sonucu izlendi. (Anormal: atipik glandüler hücreler, akantosiz, atipik skuamöz hücreler-yüksek dereceli skuamöz intraepitelyal lezyon olarak sıfıflandırılamayan, atrofi, erozyon, yüksek dereceli skuamöz intraepitelyal lezyon, düşük dereceli skuamöz intraepitelyal lezyon, skuamöz hücreli karsinom, skuamöz metaplazi). Sadece 12 hastadan yapılan kolposkopik biyopsi sonucu normal sonuçlandı.
Sonuç: HPV'li veya HPV'siz kadınlarda malign veya premalign servikal lezyonların tedavisinde risk bazlı yönetim önerilmektedir.

Anahtar Kelimeler

Kolposkopi, Human papilloma virüs, Pap Smear, Risk Tabanlı Yönetim

Examination of Colposcopy Results Performed at a Single Tertiary Level Center

Öz

Backround: Colposcopy is the evaluation of the lower genital system (cervix uteri, vagina and vulva) in women. Cervical cytology is the screening test for malignancy of the lower genital system, especially cervical cancers. An abnormality may be found in approximately 10% of patients undergoing cervical cytology and further investigation is required in these patients. At this stage, colposcopy is used.
Aim: The purpose of this study was to examine the results of colposcopy performed in XXXX Hospital.
Methods: In our clinic, which is a tertiary health center, 3% acetic acid is used during colposcopy examination and Shiller test is performed if necessary. Biopsies are performed in appropriate areas. In this study, colposcopy results performed over a 2 year period were examined retrospectively. During this review, 189 patient files were scanned. Demographic data, smear, human papillomavirus (HPV) and biopsy results were collected and analyzed from the patients' files.
Results: An abnormal pathology result was observed in 177 of the biopsies performed during the 189 colposcopy examinations. (Abnormal: atypical glandular cells, acanthosis, atypical squamous cells-cannot exclude high-grade squamous intraepithelial lesion, atrophic, erosion, high-grade squamous intraepithelial lesion, low-grade squamous intraepithelial lesion, squamous cell carcinoma, squamous metaplasia). Colposcopic biopsy results were normal in only 12 patients.
Conclusion: Risk-based management is recommended for the management of malignant or premalignant cervical lesions in women with or without HPV.

Anahtar Kelimeler

Colposcopy, Human papilloma virrus, Pap Smear, Risk Based Management

Etik Beyan

Approval for this study was obtained from the Local Ethics Committee (9.30.2022 - 22/483) and all procedures complied with the provisions of the 1995 Declaration of Helsinki (Brazil as revised in 2013).

Teşekkür

Thanks to Caroline Jane WALKER for her help with English Grammar.

Kaynakça

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