| Autor: |
Roensbo, Mette T., Hammer, Anne, Blaakær, Jan |
| Předmět: |
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| Zdroj: |
Acta Obstetricia et Gynecologica Scandinavica; Jul2015, Vol. 94 Issue 7, p781-785, 5p |
| Abstrakt: |
The sensitivity of conventional colposcopy for the detection of high-grade cervical lesions (cervical intraepithelial neoplasia stage 2 or above; CIN2+) is poor. We aimed to investigate if a Dynamic Spectral Imaging System (Dy SIS) can enhance or replace conventional colposcopy in clinical practice. From 3 December 2013 to 29 January 2014 a total of 239 women were included. All women were referred to the Department of Obstetrics and Gynecology, Aarhus, Denmark because of an abnormal cytology result. Every woman had three to five cervical punch biopsies taken; two biopsies were taken following Dy SIS recommendations. Subsequent biopsies were taken following the clinician's assessment or randomly. Dy SIS allowed detection of five CIN2+ cases (7.4%) that would not have been detected otherwise, but it failed to detect 46 of CIN2+ cases (67.6%). The sensitivity and specificity of Dy SIS for detecting CIN2+ was 32.4 and 83.0%, respectively. Dy SIS colposcopy seemed inferior to conventional colposcopy in detecting high-grade lesions and cannot replace conventional colposcopy with random biopsies. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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