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Cervical cytology in adolescence
E Hassan1, C Relakis, I Matalliotakis
1Division of Pediatric and Adolescent Gynecology, University of Crete, Greece.
Clinical and Experimental Obstetrics & Gynecology
|January 1, 1997
Summary
Abnormal Pap smears are increasingly detected in young women, with 3.8% of sexually active females aged 13-19 showing abnormalities. Most cases were benign, but some indicated HPV infection or cervical intraepithelial neoplasia (CIN).
Area of Science:
- Gynecology
- Public Health
- Cytopathology
Background:
- Rising global incidence of cervical intraepithelial neoplasia (CIN) in young women.
- Need to understand the prevalence of abnormal Pap smears in this demographic.
Purpose of the Study:
- To determine the frequency of abnormal Papanicolau (Pap) smears in sexually active females aged 13 to 19 years.
- To analyze the types of cytological changes observed.
Main Methods:
- Retrospective analysis of Pap smears from sexually active females aged 13-19.
- Classification of smears into normal, benign cellular changes, HPV infection, CIN I, and CIN II.
Main Results:
- 96.2% of smears were normal or showed benign changes.
- Abnormalities detected: 2.5% HPV infection, 1.0% CIN I, 0.3% CIN II.
- Overall frequency of abnormal smears was 3.8%.
Conclusions:
- A significant minority of young, sexually active females present with abnormal Pap smears.
- Early detection of HPV and CIN is crucial in this age group.
- Further research on risk factors and management strategies is warranted.