The Importance of Colposcopic Biopsy in Cervical Smear Pathologies Colposcopic Biopys in Cervical Screening

• Main Authors: Mustafa Kemal Günver, Cem Dane, Sevilay Yavuz Doğu
• Format: Article
• Language: English
• Published: Galenos Yayinevi 2019-12-01
• Series: Haseki Tıp Bülteni
• Subjects: cervical smear; colposcopic biopsy; cervical neoplasia
• Online Access: http://www.hasekidergisi.com/archives/archive-detail/article-preview/the-mportance-of-colposcopic-biopsy-in-cervical-sm/31987

Aim:To evaluate the results of colposcopy-guided biopsy in patients diagnosed with low- and high-grade cervical intraepithelial neoplasia (CIN) identified by Pap smear test.Methods:A total of 102 patients with low- and high-grade CIN diagnosed by Pap smear test, who underwent colposcopy-guided biopsy in the gynecology and obstretrics outpatient clinics at Haseki Tranining and Research Hospital, were included in this retrospective study.Results:One hundred and two patients were included in our study. Colposcopy-guided biopsy results of patients with low-grade and high-grade CIN were as follows: acanthosis and chronic cervicitis-36 (50%) and five (16%), CIN I - 28 (38%) and nine (30%), and CIN II-III - 8 (11%) and 16 (53%), respectively. The specificity and sensitivity of colposcopy-guided biopsy in detecting CIN II-III in patients with high-grade CIN were 67% and 80%, respectively, and the positive predictive value was 50%.Conclusion:Considering the fact that smear is a screening test, the diagnosis of low-grade and high-grade CIN should be confirmed with colposcopy-guided biopsy.