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Ginecología y obstetricia de México
versão impressa ISSN 0300-9041
Resumo
CIENDUA, Gustavo et al. Findings in colposcopy. Experience in a reference unit. Ginecol. obstet. Méx. [online]. 2019, vol.87, n.5, pp.302-310. Epub 30-Jun-2021. ISSN 0300-9041. https://doi.org/10.24245/gom.v87i5.2873.
OBJECTIVE:
This study describes the colposcopic results of patients with cytological alterations in a Colombian institution.
MATERIALS AND METHODOS:
Observational Cross-sectional study based on retrospective data. Patients who underwent colposcopy due to abnormal cytologies during 2012-2106 were included. A stratified random sampling was carried out by age groups. The frequencies of colposcopic alterations and histological results were established.
RESULTS:
372 patients were selected. The main indication for colposcopy was the ASCUS report (70.6%), followed by LSIL (16.9%) and endocervical polyps (2.9%). Colposcopy was negative in 32% of the cases, positive in 31% and inflammation in 21%. The rest of cases corresponded to varied findings such as atrophy or polyps. Of the positive colposcopies the main report was minor changes or grade 1; especially in patients between 15-24 years. Of the patients with a biopsy, one case of adenocarcinoma (3.1%) and another of carcinoma in situ (3.1%) were reported in the same age group.
CONCLUSIONS:
The realization of colposcopy identified the high-grade lesions in this population, but also detected clinically insignificant low-grade lesions. Colposcopy is a key tool for the diagnosis of premalignant lesions of the cervix.
Palavras-chave : Colposcopy; Atypical Squamous Cells of the Cervix; Uterine Cervical Neoplasms; Adenocarcinoma; Colombia; Cytodiagnosis.