ABSTRACT
The cervical cancer is the second most frequent cancer of the woman in Tunisia. It is considered as a sexual transmissive desease due to the involvement of the HPV. The purpose of our study is to proove that an inflammatory cervical smear should be considered as a positive test and must lead to other investigations. It is a prospective study over 140 cases of inflammatory cervical smears [without atypical cells] diagnosed during a year period from June 2001 to June 2002. These patients had a systematic colposcopy with the biopsy of suspicious lesions. The mean age of our patients is 42 years. 68.57% of them are in active genital period. The colposcopy was normal in 10% of our patients. It showed benign lesions such as: ectropion in 22.85%, colpitis in 14.28%, cervical polypus in 5%, normal transformation zone in 8.57%, but also suspicious lesions such as: atypical transformations grade I [ATGI] in 25.71% and atypical transformations grade II [ATGII] in 13.57%. The biopsies made on 89 patients showed dysplasia and carcinoma in 18.57% of them. A case of in situ carcinoma, a microinvasif epidermoid carcinoma and an invasif glandular carcinoma were diagnosed. Colposcopy is an ambulatory investigation. It makes a minutious study of the cervix and diminishes the rate of false negative made by the cervical smear