Examination of Colposcopy Results Performed at a Single Tertiary Level Center Üçüncü Basamak Bir Merkezde Yapılan Kolposkopi Sonuçlarının İncelenmesi


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Gunenc O., Uysal E.

Genel Tip Dergisi, cilt.34, sa.3, ss.365-370, 2024 (Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 34 Sayı: 3
  • Basım Tarihi: 2024
  • Doi Numarası: 10.54005/geneltip.1438632
  • Dergi Adı: Genel Tip Dergisi
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.365-370
  • Anahtar Kelimeler: Colposcopy, Human papillomavirus, Pap Smear, Risk Based Management
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Background: Colposcopy is the evaluation of the lower genital system (cervix, 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 performed. Aim: The purpose of this study was to examine the results of colposcopy performed in Konya City 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 from the patients’ files and analyzed. 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 that cannot be classified as high-grade squamous intraepithelial lesion, high-grade squamous intraepithelial lesion, low-grade squamous intraepithelial lesion, squamous cell carcinoma). Other colposcopic biopsy results; atrophy, erosion and 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.