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Year:
2001
| Volume: 9
| Issue: 3
| Pages: 165-170
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Actual Problem |
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SQUAMOUS INTRAEPITHELIAL LESIONS
Jadranka RAVIC, Marija TESIC |
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DOI:
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Abstract: |
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According to the Bethesda classification cervical epithelial lesions are divided into squamous intraepithelial lesions (SIL) of low grade (LG) and high grade (HG). These lesions are considered to be a premalignant disease. They are most often associated with HPV infection caused by viruses of high, intermediary or low oncogenic potential. Having in mind its malignant potential, early diagnosis and adequate treatment of SIL take very important place in the struggle against the cervical cancer. The aim of this paper was to analyze all diagnosed cases of SIL and to emphasize the importance of opportune screening of women in early detection of cervical precancerous lesions. Opportune screening implies systematic examination of each woman who comes to a gynecologist for any reason. Colposcopical and cytological cervical examination play the most important role in this examination. Over the period from 1993 to 2000, 231 cases of low-grade squamous intraepithelial lesions (LSIL) and 101 cases of high-grade squamous intraepithelial lesions (HSIL) were revealed. The highest number of patients with SIL were younger than 40 and had suspicious Pap smear. The colposcopical findings were atypical in more than 80%. The infection caused by high onco- genic HPV types (16,18) was rather high and it was present in 68.75%. We conclude that it is necessary to apply and respect cytological and colposcopical examinations as complementary methods for early detection of premalignant cervical changes. Opportune cervical screening is very applicable in practice and should be everyday, routine examination in each gynecological office. |
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Key words:
Cervical Intraepithelial Neoplasia; Mass Screening |
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