COLPOSCOPY IN PATIENTS WITH ATYPICAL GLANDULAR CELLS ON PAP SMEARS
Material and methods: We have analyzed all cases with ACG who attended our colposcopy clinic between All cases were followed for a period of at least 36 months after the diagnosis of Squamous papilloma child on Pap smear.
Medical records were reviewed to determine the clinical data, colposcopy findings and histology results.
Normal colposcopy, minor colposcopy changes, major colposcopy changes and suspicion of invasion were encountered in 44 cases The colposcopy was not satisfactory transformation zone type III in 13 cases Conclusions: The ACG diagnosis needs new strategies in order to reduce the overtreatment but not to increase the false negative results. Colposcopy is useful in cases with associated squamous cervical lesions, but new diagnostic tools are mandatory for a better management.
A possible one is represented by Human Papilloma Virus test, but the place of this test should be clarified by further studies.
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