Colposcopic and cytologic findings among adolescents referred to two urban teaching hospitals

Journal of Pediatric and Adolescent Gynecology
L S Massad, D Anoina

Abstract

To determine colposcopic findings among adolescents and to determine compliance with management recommendations. Retrospective review of colposcopy logs and patient charts. Two urban resident colposcopy clinics. Low-income, predominantly minority girls 16 years of age or younger referred for evaluation of abnormal cervical cytology. Colposcopy with directed biopsy. Histologic findings in colposcopic biopsies and compliance with management recommendations. Of 62 adolescents evaluated, 17 (27%) had biopsies showing atypia or koilocytosis and 13 (21%) had dysplasia, with grade 2 cervical intraepithelial neoplasia (CIN 2) in 5 (8%). No biopsy showed CIN 3 or invasive cancer. None of 31 endocervical curettings contained dysplasia. Forty-one adolescents (66%) failed to comply with recommendations for surveillance or treatment. The prevalence of dysplasia among adolescents referred for colposcopy is substantial, and better strategies are needed to ensure proper follow-up.

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Citations

Dec 3, 2003·Cancer Detection and Prevention·Julia C GageSylvia C Robles
Apr 20, 2001·Clinical Pediatrics·C D AroraR Lazebnik
Oct 6, 2005·Journal of Lower Genital Tract Disease·Stewart L MassadYvonne Collins

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