Servikovajinal Pap smear sonuçlarının klinik parametrelerle karşılaştırılması
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Dosyalar
Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Serviks kanseri, gelişmekte olan ülkelerde kadınlarda kansere bağlı ölümlerin önde gelen nedenidir. Bu makalede, bölümümüze başvuran kadın hastaların klinik parametrelerini değerlendirerek, smear sonuçları ile karşılaştırmak istedik. Gereç ve Yöntem: Kadın doğum polikliniğimize 2010-2011 yılı arası başvuran 1101 kadının Bethesda sistemine göre değerlendirilen smear sonuçları, retrospektif klinik verilerle değerlendirildi. Bulgular: Yaş arttıkça enflamasyon tanısının normal izlenmesine oranla anlamlı olarak azaldığı (p0.001), akıntıağrı şikayetinin anlamlı olarak arttığı (p0.0001), kanama ve kitle hissi şikayetinin değişmediği saptandı (sırasıyla, p0.978 ve 0.688). Mann-Whitney U testi ile rahim içi araç (RİA) varlığı durumunda aktinomiçes enfeksiyonunun, RİA yokluğu durumuna oranla anlamlı olarak arttığı gözlendi (p0.0001). Pap smear sonuçlarına bakıldığında, önemi bilinmeyen atipik skuamöz hücreler/düşük dereceli skuamöz intraepitelyal lezyon (ASC-US/LSIL) oranı %11.1 olduğu tespit edildi. Sonuç: Servikovajinal tarama yönteminin, en güvenli ve en kolay tarama yöntemi olduğunu ve gereği halinde doku biyopsisi ile erken tanı şansının daha da yükseleceğini umuyoruz.
Background: Cervical cancer is the leading cause of cancerrelated death among women in developing countries. In this article, we evaluated the clinical parameters of female patients presenting to our department and compared them with smear test results. Methods: The smear test results of 1,101 women presenting to our obstetrics clinic in the period 2010-2011were evaluated with retrospective clinical data according to the Bethesda System. Results: It was determined that, in comparison with the normal observation of a diagnosis of inflammation (p0.0001), inflammation decreased significantly as age increased, that discharge and pain complaints increased (p<0.0001), and that complaints of bleeding and presence of lumps did not change (p0.978 and 0.688, respectively). It was observed with the Mann-Whitney U test that the actinomyces infection increased in the cases with presence of an intrauterine device (IUD) in comparison with the absence of an IUD. When the results of the Pap smear test were examined, the ratio of atypical squamous cells of undetermined significance/low-grade squamous intraepithelial lesion (ASCUS/ LSIL) was found as 11.1%. Conclusion: We believe that cervicovaginal curettage is the most reliable and easiest procedure, and we hope that the chance for an early diagnosis will increase with tissue biopsy, when needed.
Background: Cervical cancer is the leading cause of cancerrelated death among women in developing countries. In this article, we evaluated the clinical parameters of female patients presenting to our department and compared them with smear test results. Methods: The smear test results of 1,101 women presenting to our obstetrics clinic in the period 2010-2011were evaluated with retrospective clinical data according to the Bethesda System. Results: It was determined that, in comparison with the normal observation of a diagnosis of inflammation (p0.0001), inflammation decreased significantly as age increased, that discharge and pain complaints increased (p<0.0001), and that complaints of bleeding and presence of lumps did not change (p0.978 and 0.688, respectively). It was observed with the Mann-Whitney U test that the actinomyces infection increased in the cases with presence of an intrauterine device (IUD) in comparison with the absence of an IUD. When the results of the Pap smear test were examined, the ratio of atypical squamous cells of undetermined significance/low-grade squamous intraepithelial lesion (ASCUS/ LSIL) was found as 11.1%. Conclusion: We believe that cervicovaginal curettage is the most reliable and easiest procedure, and we hope that the chance for an early diagnosis will increase with tissue biopsy, when needed.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp
Kaynak
Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
22
Sayı
3
