Printer Friendly

Colposcopy referral may not be needed for mild dyskaryosis.

Santa Monica, Calif. -- It may not be necessary to refer women for colposcopy after a single, mildly dyskaryotic cervical smear, according to a poster presentation by A.S. Ahmed at the biennial meeting of the International Gynecologic Cancer Society.

In a retrospective analysis of 375 patients who had a single smear positive for mild dyskaryosis and were followed for 4 years, Mr. Ahmed of King's College, London, and his colleagues found that 50% of the follow-up smears were negative in the first year, and 87% stayed negative over the full 4 years. In all, 791 follow-up smears were performed and 477 (60%) were negative. After those negative smears, only 61 (13%) smears in 54 patients (14%) reverted to low-grade abnormalities. Of the 375 patients, 70 (19%) required an excisional biopsy The prevalence of high-grade cervical intraepithelial neoplasia (CIN) was 11%, and no cases of cancer were detected.

The authors said a single mildly abnormal cervical smear need not trigger a referral to colposcopy.

COPYRIGHT 2006 International Medical News Group
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2006 Gale, Cengage Learning. All rights reserved.

Article Details
Printer friendly Cite/link Email Feedback
Title Annotation:Women's Health
Author:Finn, Robert
Publication:Family Practice News
Article Type:Brief article
Geographic Code:1U9CA
Date:Dec 1, 2006
Words:163
Previous Article:Vasomotor symptoms may predict bone density.
Next Article:MRSA colonized in 2% of women upon delivery.
Topics:

Terms of use | Privacy policy | Copyright © 2019 Farlex, Inc. | Feedback | For webmasters