Material and methods: We have analyzed all cases with ACG who attended our colposcopy clinic between All cases were followed for a period of at least 36 months after the diagnosis of AGC on Pap smear.
Povestile pacientelor Nu mai amana! Testul Papanicolau iti poate salva viata! Cand este efectuat regulat, testul Papanicolau identifica precoce celulele anormale, inainte ca acestea sa se transforme in cancer.
Medical records were reviewed to determine the clinical data, colposcopy findings and histology results. Normal colposcopy, minor colposcopy changes, major colposcopy changes and suspicion of invasion were encountered in 44 cases The colposcopy was not satisfactory transformation zone type III in 13 cases Conclusions: The ACG diagnosis needs new strategies in order to reduce the overtreatment but not to increase the false negative results.
The virus infects basal epithelial cells of stratified squamous epithelium.
Colposcopy is useful in cases with associated squamous cervical lesions, but new diagnostic tools are mandatory for a better management. A possible one is represented by Human Papilloma Virus test, but the place of this test should be clarified by further studies.
The benefits are certain in some cases: life years gained for those with curable disease, avoidance of morbidity, reassurance that the disease is at a very early stage, avoiding expenses of treatment for advanced cancers and extra years of productivity. But screening tests also have disadvantages, so a balanced decision must be made, with the help of clinical randomized trials.
Author Biographies D. Cervical cytology reported as negative and risk of adeno-carcinoma of the cervix: no strong evidence of benefit.
Abnormal Pap Smear: What Does It Mean?
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