The Clinical Significance and The Optimal Management of Atypical Squamous Cells of Undetermined Significance in Cervical Smears / 대한산부인과학회잡지
Korean Journal of Obstetrics and Gynecology
;
: 1419-1425, 2001.
Article
in Korean
| WPRIM
| ID: wpr-167804
ABSTRACT
OBJECTIVE:
To evaluate the clinical significance and the optimal management of atypical squamous cells of undetermined significance (ASCUS) in Papanicolaou cervical smears.METHOD:
This study included 25380 cases of cervical Pap smears received from January 1995 to June 2000 by the Department of Obstetrics & Gynecology, Inha Hospital, Medical College, the Inha University. Retrospective review was done on 384 cases of ASCUS.RESULT:
ASCUS and squamous intraepithelial lesions (SIL) were diagnosed in 384 cases (1.5%), and 311 cases (1.1%), respectively. The ratio of ASCUS to SIL was 1.2. Colposcopic directed biopsies revealed 14 cases (14.1%) of low grade SIL (LSIL), 21 cases (21.2%) of high grade SIL (HSIL), and 2 cases (2.0%) of squamous cell carcinoma.CONCLUSION:
The immediate colposcopy with biopsy in women with ASCUS may decrease follow-up visits for Pap testing, reduce patient anxiety, minimize the loss of high risk cases during follow-up and lower medicolegal litigation. The early colposcopy may be the method of choice for follow-up in women with ASCUS in Korea.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Anxiety
/
Vaginal Smears
/
Biopsy
/
Carcinoma, Squamous Cell
/
Retrospective Studies
/
Follow-Up Studies
/
Colposcopy
/
Gynecology
/
Jurisprudence
/
Korea
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Korean Journal of Obstetrics and Gynecology
Year:
2001
Type:
Article
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