| |
Year:
1999
| Volume: 7
| Issue: 2
| Pages: 67-69
|
| |
Actual Problem |
| |
THE OPPORTUNE SCREENING OF PATHOLOGICAL CERVICAL LESIONS IN ADOLESCENTS
Jadranka RAVIC, Marija TESIC, Branko STANIMIROVIC |
| |
DOI:
|
| |
Abstract: |
| |
The life style of adolescents has changed in the last decades, resulting in higher incidence of cervical abnormalities. The purpose of the study was to determine the frequency of pathological cervical lesions in sexually active teenagers. The study included 235 teenage patients who came to the Outpatient Department of Women's Health Care in Ruma, for various reasons during 1997-1998. Vaginal and Pap smears were taken from all patients and all of them underwent colposcopic examination. Cervical biopsy was performed on the basis of cytological and/or colposcopic findings. HPV (human papilloma virus) typing was done in all adolescents with LGSIL (low grade squamous intraepithelial lesions).
The mean age of adolescents was 18.67 years. Vaginal smear was pathological in 19.61% of cases (trichomonas vaginalis and candidiasis). Pap smears were suspicious in 5.96%. Colposcopic examination revealed pathological findings in 20.86%. On the cervical biopsy LGSIL were found in 7.23%, and HGSIL (high grade squamous intraepithelial lesions) in 0.85% of all cases. The results of HPV typing (n=17) were negative in seven patients; three adolescents had HPV infection of types 16,18,31,33; one had HPV infection of types 16,18 and 31,33 and 6,11,16,18, respectively, while two of them had infection of 6,11 HPV types. In others, HPV typing is under way and the results for these patients are being awaited. Our data strongly suggest the necessity for intense cytological and colposcopic follow-up of all sexually active teenagers. Although this necessity is generally recognized it is insufficiently implemented. |
| |
Key words:
Teenager; Cervical lesion; Colposcopy; Cytology |
| |
Read
full text in PDF [Full
Text] |
|
|