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[Current indications for colposcopic examination]

S Spuhler1, P Sauthier

  • 1Département de Gynécologie-Obstétrique, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Suisse.

Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
|January 1, 1993
PubMed
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Colposcopy accurately confirms cervical dysplasia and other lower genital tract pathologies indicated by "atypical" cytology. Systemic examination is crucial due to associated lesions, making repeat smears in such cases unhelpful.

Area of Science:

  • Gynecology
  • Oncology
  • Pathology

Background:

  • Pre-cancerous conditions of the lower genital tract are increasing.
  • There is a need to define indications for colposcopic examination and improve outpatient therapy.

Purpose of the Study:

  • To establish clear indications for colposcopic examination.
  • To evaluate the diagnostic agreement between cytology, colposcopy, and histology.
  • To assess the utility of colposcopy in managing pre-cancerous conditions.

Main Methods:

  • A retrospective study of 1,454 patients examined between 1987 and 1991.
  • Review of cytological, colposcopic, and histological diagnoses.
  • Analysis of the correlation between different diagnostic methods.

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Main Results:

  • Colposcopic examination confirmed cytologically diagnosed dysplasias in 95% of cases.
  • Colposcopy identified pathology in over 90% of cases with "atypical" cytology smears.
  • Histological examination confirmed human papillomavirus lesions or dysplasia in over 85% of cases.

Conclusions:

  • Colposcopy is a reliable tool for diagnosing lower genital tract pathologies, including dysplasia, condylomata, and leukoplakia.
  • "Atypical" cytology results warrant colposcopy; repeat smears are not recommended.
  • Systemic examination of the vulva and vagina is necessary due to frequent co-occurrence of lesions.