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Abnormal cervical cytology in the teen-ager: a continuing problem
American Journal of Obstetrics and Gynecology
|October 15, 1976
Summary
Sexually active teenagers show high rates of abnormal cervical cytology, with mild dysplasia or worse found in 7% of those screened. Severe dysplasia-carcinoma in situ was diagnosed in 15 of 65 biopsies, effectively managed with cryosurgery.
Area of Science:
- Gynecology
- Oncology
- Public Health
Background:
- Abnormal cervical cytology is increasingly detected in adolescent populations.
- Early detection is crucial for managing precancerous cervical conditions.
Purpose of the Study:
- To determine the incidence of abnormal cervical cytology in sexually active teenagers.
- To evaluate the effectiveness of colposcopy and cryosurgery in managing these cases.
Main Methods:
- Screening of 2,655 teenagers for cervical abnormalities over 18 months.
- Colposcopically directed biopsies performed on 65 patients with abnormal cytology.
- Treatment primarily involved cryosurgery for severe dysplasia-carcinoma in situ.
Main Results:
- A rate of 70.8 per thousand (7%) teenagers screened had mild dysplasia or worse.
- Fifteen cases of severe dysplasia-carcinoma in situ were identified via biopsy.
- Cryosurgery combined with colposcopy demonstrated safety and efficacy.
Conclusions:
- Sexually active teenagers exhibit a significant prevalence of abnormal cervical cytology.
- Colposcopy and cryosurgery are safe and effective for managing precancerous cervical lesions in adolescents.