Роль мазка типов, ПВЧ и пункционной биопсции в оценке патологий шейки матки

Аннотация

Aim of study: Aim of our study is to determine the relation between high risk HPV(16,18,31,33) types, Pap smear and punch biopsy results. Material and methods: We used for our study patients which referred with abnormal cervical lesions and pathological cytology findings, from 2010-2017 years in Derince Training and Research Hospital. The data of the patients who underwent colposcopy were examined retrospectively. 151 patients were included in the study. Results: As a result of study-high risk lesions (CIN2-3) were observed in 18,18% (n=8/44) of NORMAL,10% (n=2/20) of ASCUS,27,27% (n=6/22) of LSIL,50% (n=5/10) of HSIL smear result reported patients. The result was reported as cervical squamous cell carcinoma in 1 patient with HSIL and 1 patient with LSIL. As a result, high–risk lesions (CIN2 and CIN3) were found 30,18% (n=16/53) in pathologic evaluation in HPV type 16 and 18 positive patients. In one patient with HPV18 was detected cervical squamous cell carcinoma. In our study was high risk lesions in 40% (4/10) of HPV other type patients. Pap smear result was reported as normal in 56,81% (n=25/44) of HPV type 16 and 18 patients,13,63% (n=6/44) of these patients were smear LSIL and HSIL.50% (n=3/6) of other positive HPV types Pap smear result reported as LSIL. Conclusions: Combined evaluation of Pap smear, colposcopy and punch biopsy while examining cervical pathologies is more convenient, than using these methods sepa-rately and more reliable approach to diagnosis of precancerous lesions.