Colposcopy and Gytodiagnosis in the Prevention of Cervical Malignancies

ABSTRACT

Background:The aim of this study was to establish the value of cytology; colposcopy; and pathohistology in the prevention of cervical malignancies. Methodology: A prospective study involving 750 patients hospitalized in the Obstetric-Gynecologic department during the period between January 2008 to January 2009 for different reasons in whom cervical dysplasia were noted on speculum examination or who showed typical clinical symptoms; direct biopsy was also obtained from 117 patients. Results: 272 of the 750 patients (36.27) showed clinical symptoms of cervical pathology. Atypical epithelial changes noted during colposcopy were more frequent in patients 31-40 years of age (60 patients; 32.09) and 41- 50 years of age (59 patients; 31.55). Histopathological changes were noticed in 19 cases (16.24) of cervical dysplasia at different stages; six cases (5.13) of carcinoma in situ; and three cases (2;56) of invasive carcinoma. Conclusions: The correct clinical evaluation of cervical epithelial alterations enables a prompt diagnosis and the timely implementation of appropriate therapeutic measures: