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Colposcopic and cytologic findings among adolescents referred to two urban teaching hospitals
1Department of Obstetrics & Gynecology, Cook County Hospital, Chicago, IL 60612, USA.
Study Objective:
To determine colposcopic findings among adolescents and to determine compliance with management recommendations.
Design:
Retrospective review of colposcopy logs and patient charts.
Setting:
Two urban resident colposcopy clinics.
Participants:
Low-income, predominantly minority girls 16 years of age or younger referred for evaluation of abnormal cervical cytology.
Intervention:
Colposcopy with directed biopsy.
Main Outcome Measures:
Histologic findings in colposcopic biopsies and compliance with management recommendations.
Results:
Of 62 adolescents evaluated, 17 (27%) had biopsies showing atypia or koilocytosis and 13 (21%) had dysplasia, with grade 2 cervical intraepithelial neoplasia (CIN 2) in 5 (8%). No biopsy showed CIN 3 or invasive cancer. None of 31 endocervical curettings contained dysplasia. Forty-one adolescents (66%) failed to comply with recommendations for surveillance or treatment.
Conclusions:
The prevalence of dysplasia among adolescents referred for colposcopy is substantial, and better strategies are needed to ensure proper follow-up.
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