High grade abnormalities following an 'inconclusive' smear
| Autor: | R. Houghton, Peter Russell, Paul R. McKenzie, K. Atkinson, Jonathan Carter, Susan Valmadre, Christopher Dalrymple |
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| Rok vydání: | 2002 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Population Uterine Cervical Neoplasms Disease Cervix Uteri Sensitivity and Specificity Medical Records Lesion Internal medicine Small Lesion Carcinoma Medicine Humans education Aged Retrospective Studies Colposcopy Vaginal Smears education.field_of_study medicine.diagnostic_test business.industry Obstetrics and Gynecology General Medicine Middle Aged medicine.disease Surgery Histopathology Female medicine.symptom Abnormality New South Wales business |
| Zdroj: | Scopus-Elsevier |
| ISSN: | 0004-8666 |
| Popis: | Objective The National Health and Medical Research Council (NHMRC) recommends a report of ‘inconclusive - possible high grade epithelial abnormality’, but many laboratories only report ‘inconclusive’ with reference to any possible high grade disease elsewhere in the report. This study was performed to determine possible reasons for cytological difficulties resulting in this category of report and to determine the rate of significant disease within this category. Design Retrospective record review. Clinical details were extracted without patient-identifying data. Setting Gynaecological Oncology Department, King George V/Royal Prince Alfred Hospital. Population Two hundred patients referred with the cytological abnormality. Materials and methods An adequate colposcopic diagram documenting size, distribution and grade of lesion was required. All patients had colposcopy with management according to colposcopic and histological results as appropriate to their disease. Outcome measures Colposcopic features, topography and size of any lesion, histological results, treatments performed and subsequent review of untreated patients. Results Colposcopy found high-grade lesions in 43% and carcinoma in 1%. Histopathology found 49% and 4% respectively. Treatment was performed in 124 patients. Inflammation was found in 27%, a small lesion in 43% and endocervical disease in 21%. Conclusions The high rate of endocervical disease, inflammation and small lesions may explain the cytological difficulties leading to an ‘inconclusive’ result. The authors believe that the term ‘inconclusive’ alone does not adequately convey the high level of risk faced by these patients. |
| Databáze: | OpenAIRE |
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