Mandatory colposcopic findings of severe cervical dysplasia. Are there key-signs that need our special attention? - 01/11/17
pages | 4 |
Iconographies | 1 |
Vidéos | 0 |
Autres | 0 |
Abstract |
Introduction |
To test for colposcopic differences between CIN2+ and non CIN2+ lesions of the “major changes” of the RIO 2011 nomenclature of the International Federation of Cervical Pathology (IFCPC).
Material and methods |
Retrospective cohort analysis of colposcopic examinations of patients with histologically confirmed CIN2+ (n=99) and non CIN2+ (n=102) lesions during a four years period. Main outcome measures: leukoplakia, coarse mosaic and punctuation, dense acetowhitening, sharp boarders, ridge sign, atypical vessels.
Results |
Only coarse punctuation (P≤0.001; OR 9.64; 95% CI 2.15–43.13), coarse mosaic (P≤0.001; OR 4.00; 95% CI 1.83–8.73) and dense acetowhitening (P≤0.05; OR 1.86; 95% CI 1.06–3.26) occurred more frequently in CIN2+ lesions which were confirmed as predictors by a regression analysis.
Conclusions |
Only coarse punctuation and coarse mosaic followed by dense acetowhitening as part of the “major changes” of the IFCPC Rio 2011 nomenclature achieve predictive values for CIN2+ lesions and should be therefore emphasized in colposcopy.
Le texte complet de cet article est disponible en PDF.Keywords : Colposcopy, Dysplasia, Rio 2011, International Federation of Cervical Pathology
Abbreviations : CIN, ES, IFCPC, i.a., NPV, SD, PPV, SEN, SPEC
Plan
Vol 46 - N° 8
P. 643-646 - octobre 2017 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’achat d’article à l’unité est indisponible à l’heure actuelle.
Déjà abonné à cette revue ?