Journal of lower genital tract disease · 2012
Is there a role for cervicography in the detection of premalignant lesions of the uterine cervix?: a Brazilian experience.
Сравнительное исследованиеОценочное исследованиеСтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
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Gasperin Plinio, Francisco Jean Alexandre Furtado, Tizzot Edison Luiz Almeida, Curcio Leonel, Couto Filho José d' Oliveira, Moreira Paulo Roberto Clementino, Pascotini Cleusa Maria Staudt, de Azevedo Elbens Marcos Minoreli, Coibion Michel, Budel Vinicius Milani, de Carvalho Newton Sergio
Аннотация
OBJECTIVE: This study aimed to compare cervical cancer screening by cervicography with screening by Pap test.
MATERIALS AND METHODS: This was a comparative multicenter study of cervical cytology and cervicography. The cervicography (slides of the cervix) was taken after the Pap test was completed. In total, samples were collected from 1176 patients. Colposcopy with biopsy was considered the gold standard for the final diagnosis of lesions observed by the Pap test and cervicography. Statistical analysis was performed using the binomial test.
RESULTS: In cases in which the Pap test was negative for cervical lesions, diagnosis by cervicography was positive in 15 cases of cervical intraepithelial neoplasia 1 (CIN 1) (p = .00052), in 1 case of CIN 2, in 1 case of CIN 3, and in 1 case of cancer. However, cervicography produced 3 false-positive results (p < .0001).
CONCLUSIONS: Cervicography may be used as a complementary screening method to the Pap test for cervical cancer.
MATERIALS AND METHODS: This was a comparative multicenter study of cervical cytology and cervicography. The cervicography (slides of the cervix) was taken after the Pap test was completed. In total, samples were collected from 1176 patients. Colposcopy with biopsy was considered the gold standard for the final diagnosis of lesions observed by the Pap test and cervicography. Statistical analysis was performed using the binomial test.
RESULTS: In cases in which the Pap test was negative for cervical lesions, diagnosis by cervicography was positive in 15 cases of cervical intraepithelial neoplasia 1 (CIN 1) (p = .00052), in 1 case of CIN 2, in 1 case of CIN 3, and in 1 case of cancer. However, cervicography produced 3 false-positive results (p < .0001).
CONCLUSIONS: Cervicography may be used as a complementary screening method to the Pap test for cervical cancer.