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Fırat Tıp Dergisi |
2015, Cilt 20, Sayı 1, Sayfa(lar) 019-024 |
[ Turkish ] [ Tam Metin ] [ PDF ] |
Comparison of Histopathological Results of Thinprep and Conventional Cervicovaginal Smears |
Remzi ATILGAN1, Gökhan ARTAŞ2, Selçuk KAPLAN1, Zehra Sema ÖZKAN1, Salih Burçin KAVAK1, Behzat CAN1, İbrahim Hanifi ÖZERCAN2, EKREM SAPMAZ1 |
1Fırat Üniversitesi Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Elazığ, Türkiye 2Fırat Üniversitesi Tıp Fakültesi, Patoloji Anabilim Dalı, Elazığ, Türkiye |
Objective: The comparison of colposcopy results of epithelial cell abnormalities that were detected at automatic thinprep systems (TIS) and conventional cervicovaginal smears.
Material and Method: Colposcopic evaluation and biopsy were made to 145 patients that were diagnosed as epithelial cell abnormality according to the 2001 Bethesda system (TBS III) between August 2011- December 2013. Fifty-four of these patients were evaluated by TIS and the remaining 91 by conventıonal cervıcovagınal smear. We evaluated and compared the positive diagnosis rates of histopathological examination results. Results: In TIS group, 56% positivity was identified in patients with ASCUS, 50% in ASC-H, 66% in LSIL and 100% in HSIL. The most severe pathology in patients with ASCUS was CIN-3, micro-invasive carcinoma in LSIL, invasive cervical carcinoma in HSIL. Only an AGUS case was in this group and the pathology result was chronic cervicitis. In conventıonal cervıcovagınal smears group, 35% positivity was identified in patients with ASCUS, 60% in ASC-H, %73 in LSIL and %100 in HSIL. The most severe pathology in patients with ASCUS was CIN-3, micro-invasive carcinoma in LSIL, invasive cervical carcinoma in HSIL. Four AGUS cases were in this group and their pathology results were chronic cervicitis. Conclusion: Severe dysplasia can be found with ASCUS as ASC-H, LSIL and HSIL at that were detected with TIS and conventional cervicovaginal smears. The positivity rate of ASCUS was found a higher The at TIS than conventıonal cervicovaginal smears. Therefore we suggest colposcopic examination and if necessary biopsy for these patients. |
[ Turkish ] [ Tam Metin ] [ PDF ] |
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