Author/Authors :
ATILGAN, Remzi Fırat Üniversitesi - Tıp Fakültesi - Kadın Hastalıkları ve Doğum Anabilim Dalı, Türkiye , ARTAŞ, Gökhan Fırat Üniversitesi - Tıp Fakültesi - Patoloji Anabilim Dalı, Türkiye , KAPLAN, Selçuk Fırat Üniversitesi - Tıp Fakültesi - Kadın Hastalıkları ve Doğum Anabilim Dalı, Türkiye , ÖZKAN, Zehra Sema Fırat Üniversitesi - Tıp Fakültesi - Kadın Hastalıkları ve Doğum Anabilim Dali, Türkiye , KAVAK, Salih Burçin Fırat Üniversitesi - Tıp Fakültesi - Kadın Hastalikları ve Doğum Anabilim Dalı, TÜRKİYE , CAN, Behzat Fırat Üniversitesi - Tıp Fakültesi - Kadın Hastalıkları ve Doğum Anabilim Dalı, Türkiye , ÖZERCAN, İbrahim Hanifi Fırat Üniversitesi - Tıp Fakültesi - Patoloji Anabilim Dalı, Türkiye , Sapmaz, EKREM Fırat Üniversitesi - Tıp Fakültesi - Kadın Hastalıkları ve Doğum Anabilim Dalı, Türkiye
Abstract :
Objective: The comparison of colposcopy results of epithelial cell abnormalities that were detected at automatic thinprep systems (TIS) and conventional cervicovaginal smears. Material and Method: Colposcopic evaluation and biopsy were made to 145 patients that were diagnosed as epithelial cell abnormality according to the 2001 Bethesda system (TBS III) between August 2011- December 2013. Fifty-four of these patients were evaluated by TIS and the remaining 91 by conventıonal cervıcovagınal smear. We evaluated and compared the positive diagnosis rates of histopathological examination results. Results: In TIS group, 56% positivity was identified in patients with ASCUS, 50% in ASC-H, 66% in LSIL and 100% in HSIL. The most severe pathology in patients with ASCUS was CIN-3, micro-invasive carcinoma in LSIL, invasive cervical carcinoma in HSIL. Only an AGUS case was in this group and the pathology result was chronic cervicitis. In conventıonal cervıcovagınal smears group, 35% positivity was identified in patients with ASCUS, 60% in ASC-H, %73 in LSIL and %100 in HSIL. The most severe pathology in patients with ASCUS was CIN-3, micro-invasive carcinoma in LSIL, invasive cervical carcinoma in HSIL. Four AGUS cases were in this group and their pathology results were chronic cervicitis. Conclusion: Severe dysplasia can be found with ASCUS as ASC-H, LSIL and HSIL at that were detected with TIS and conventional cervicovaginal smears. The positivity rate of ASCUS was found a higher The at TIS than conventıonal cervicovaginal smears. Therefore we suggest colposcopic examination and if necessary biopsy for these patients.
