Evaluation of women presenting with postcoital bleeding by cytology and colposcopy

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Afsaneh TehranianZahra Asgari

Abstract

To evaluate women with postcoital bleeding (PCB) by clinical examination, cytology, colposcopy, and histopathology. A cross-sectional study of 123 women with PCB, who were referred to the Colposcopy Clinic of Arash Hospital, Tehran, over a 2-year period. Clinical examinations revealed cervical polyps in 18 women and ectropion in 14. Cervical cytology identified 13 patients with atypical squamous cells of undetermined significance, 2 with atypical glandular cells, 4 with low-grade squamous intraepithelial lesions, and 3 with high-grade squamous intraepithelial lesions. Colposcopy indicated invasive cancer in 1 patient. Transitional zones appeared normal in 39.8% of the cohort, were atypical grade 1 in 33.3%, and atypical grade 2 in 4.9%. Fourteen abnormalities were detected at histology, including 1 squamous cell carcinoma, 1 low-grade glandular neoplasm, 9 cervical intraepithelial neoplasia (CIN) grade 1, 2 CIN grade 2, and 1 CIN grade 3. The sensitivity and specificity of cytology were 50% and 86.5%, respectively. A total of 21.4% of abnormal pathologies were missed using colposcopy, which had a sensitivity of 79%. Because of its higher sensitivity, colposcopy can be recommended for the investigation of persistent PCB, even in...Continue Reading

References

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Citations

Aug 10, 2015·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Cagri GulumserAli Ayhan
Jul 22, 2014·Obstetrics and Gynecology International·Christopher M Tarney, Jasmine Han
Mar 2, 2017·Archives of Gynecology and Obstetrics·Hsin-Li LiuYueh-Chin Chung

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