Examination of Colposcopy Results Performed at a Single Tertiary Level Center

Abstract

Backround: Colposcopy is the evaluation of the lower genital system (cervix uteri, vagina and vulva) in women. Cervical cytology is the screening test for malignancy of the lower genital system, especially cervical cancers. An abnormality may be found in approximately 10% of patients undergoing cervical cytology and further investigation is required in these patients. At this stage, colposcopy is used. Aim: The purpose of this study was to examine the results of colposcopy performed in Konya City Hospital. Methods: In our clinic, which is a tertiary health center, 3% acetic acid is used during colposcopy examination and Shiller test is performed if necessary. Biopsies are performed in appropriate areas. In this study, colposcopy results performed over a 2 year period were examined retrospectively. During this review, 189 patient files were scanned. Demographic data, smear, human papillomavirus (HPV) and biopsy results were collected and analyzed from the patients' files. Results: An abnormal pathology result was observed in 177 of the biopsies performed during the 189 colposcopy examinations. (Abnormal: atypical glandular cells, acanthosis, atypical squamous cells-cannot exclude high-grade squamous intraepithelial lesion, atrophic, erosion, high-grade squamous intraepithelial lesion, low-grade squamous intraepithelial lesion, squamous cell carcinoma, squamous metaplasia). Colposcopic biopsy results were normal in only 12 patients. Conclusion: Risk-based management is recommended for the management of malignant or premalignant cervical lesions in women with or without HPV.