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- Title
Correlación histocitológica y colposcópica en pacientes en transición a la menopausia.
- Authors
Sánchez-Zamora, R.; Vera-Gaspar, D.; Álvarez-Goris, M del P.; Rojas-Sánchez, T. M. R.; Peña-Jiménez, A. E.
- Abstract
OBJECTIVE: This study was conducted to compare the correlation between the Pap smear and colposcopy findings in postmenopausal Mexican women MATERIAL AND METHODS: Observational, Retroelective, longitudinal, descriptive study, all menopausal women who consulted for pap smears and colposcopy performed was studied. RESULTS: 119 patients were evaluated. 72 % of pap smears were negative to human papilloma virus, 29 (24 %) had a low-grade lesion and 4 (4%) had a high-grade lesions. In the colposcopic study: 31 studies (26%) report low-grade intraepithelial lesion and 2 cases (2%) high-grade lesion. The histopathological biopsy reported one invasive cervical cancer ( 2.43 %) and 20 cases of low-grade lesions ( 48.7 %). cytology had a sensitivity of 85.3 % and specificity of 56.09 % with a false negative rate of 14.3 %, a positive predictive value of 66.03 % and a negative predictive value of 79.31 %. Colposcopy: sensitivity= 82.92 %, specificity = 56.09 % with a false negative rate of 17.07 % positive predictive value of 65.38 % and a negative predictive value of 76.66 %. CONCLUSIONS: The correlation between Pap smear and colposcopy shows that the diagnosis of low and high grade lesions differs only by 2%, therefore indicates adequate sensitivity for diagnosis. In this population of women routine gynecological tests most be performed.
- Subjects
PERIMENOPAUSE; DISEASES in middle-aged women; PRECANCEROUS conditions; COLPOSCOPY; PAP test; DIAGNOSIS of diseases in women; POSTMENOPAUSE; DIAGNOSIS
- Publication
Ginecología y Obstetricia de México, 2016, Vol 84, Issue 2, p65
- ISSN
0300-9041
- Publication type
Article