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Colposcopically directed biopsy findings in the young female
E A Hassan1, G K Creatsas, E S Diakomanolis
1Colposcopy Units, 1st and 2nd Departments of Obstetrics and Gynecology, University of Athens, Athens, Greece.
Journal of Pediatric and Adolescent Gynecology
|May 19, 2001
Summary
Colposcopy effectively identifies cervical alterations in young, sexually active females. Early detection of human papillomavirus (HPV) and cervical intraepithelial neoplasia (CIN) is crucial for timely treatment.
Area of Science:
- Gynecology
- Oncology
- Virology
Background:
- Young sexually active females are at risk for cervical abnormalities.
- Abnormal cervical cytology necessitates further investigation.
Purpose of the Study:
- To evaluate colposcopic findings in young, sexually active females with cervical abnormalities.
- To assess the role of human papillomavirus (HPV) in these alterations.
Main Methods:
- Colposcopic examinations were performed on 51 females aged 15-20.
- Biopsies and HPV typing were conducted.
- Follow-up included colposcopy, LEEP, and conization as needed.
Main Results:
- 15.7% of colposcopies were normal.
- Cervical alterations were linked to HPV (27.4%), CIN I (29.4%), CIN II (25.5%), and CIN III (2.0%).
- HPV was detected in 53.3% of CIN I and 38.4% of CIN II cases, with specific high-risk types identified.
Conclusions:
- Colposcopy is essential for evaluating cervical changes in young, sexually active women.
- Cervical smears are vital for all sexually active teenage patients.
- Prompt colposcopic evaluation and treatment of CIN lesions are necessary.