Minimal anormal smear bulgusu olan olgularda kolposkopik analiz

Yıl 2002, Cilt: 33 Sayı: 4, 11 - 16, 01.05.2002

Funda Ayşe Platin Bülent Tandoğan Vedat Dayıcıoğlu

Öz

Amaç: Minimal anormal smear bulgusu ASCUS (Önemi belirsiz atipik skuamoz hücreler), LGSIL (Düşük grade'li skuamoz intraepitelyal lezyon) olan grupta kolposkopinin gerekliliğini değerlendirmek. Materyal \e Metod: Çalışma prospektif olarak smear tarama sonucu 'Minimal' anormal smear olarak gelen 90 olgu üzerinde yapıldı. Olguların hepsi kolposkopik inceleme ile değerlendirildi. Şüpheli alanlardan biopsi örnekleri alındı ve ECC yapıldı. 6 ay sonra smearleri tekrarlandı. Bulgular: Minimal anormal smear bulgusu olan 90 hasta %75.6'sı ASCUS, %24.4 LGSIL grubundandı. Bu hastaların kolposkopileri yapıldı. %18.9 normal, %79.9 anormal, %2.2 yetersiz kolposkopik bulgu olarak değerlendirildi. Anormal kolposkopisi olan gruba yapılan biopsi sonuçlanna göre %25 CIN I, %3 CIN II-CIN III saptandı. Toplam %28 CIN tespit edildi. Sonuçlar: Minimal anormal smear bulgusu olan hastalarda saptanan yüksek oranda CIN sebebiyle bu olgularda acil kolposkopi yapmak ve sonucuna göre agresif yaklaşımda bulunmak gereklidir.

Anahtar Kelimeler

Kolposkopi, İleriye dönük çalışma, Vajinal smirler, Tanı teknikleri, kadın doğum ve kadın hastalıkları

Colposcopic analysis of cases who have minimally abnormally abnormal cervical smear

Öz

Objective: To evaluate the importance of colposcopy in cases who have minimally abnormal smear results. Materials and Methods: This Study, 90 cases who have minimally abnormal smear results has been studied prospectively, all cases have been examined with colposcopy and biopsies were taken from suspected areas and endocervical curretage has been performed and six months later smears were repeated. Results: 75.6 percent of 90 cases who have minimally abnormal smear were detected as ASCUS and 24.4 percent were detected as LGSIL. Colposcopic examination has been performed on these patients and 18.9 percent has been found normal, 79.9 percent has been reported as undetectable transformation zone. According to the biopsy results of the cases who have abnormal colposcopy 25 percent was CIN I, 3 percent was CIN II-III. As a total 28 percent CIN was detected. Conclusion: Because of the high CIN rate among the cases who have minimally abnormal smear, colposcopy must be performed as soon as and according to the results aggressive approach is recommended.

Anahtar Kelimeler

Colposcopy, Prospective Studies, Vaginal Smears, Diagnostic Techniques, Obstetrical and Gynecological

Kaynakça

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