High Rates of High-Grade Cervical Dysplasia in High-Risk Young Women With Low-Grade Cervical Cytology

Journal of Lower Genital Tract Disease
Laura R DailyCharles A Leath

Abstract

The aim of the study was to determine rates of cervical intraepithelial neoplasia (CIN) 2 or greater in high-risk, racially diverse, young women with low-grade cytology. After institutional review board approval, a cross-sectional study of 21- to 24-year-old women with low-grade cytology (atypical squamous cells of undetermined significance, high-risk human papillomavirus+, low-grade squamous intraepithelial lesion, or human papillomavirus+ only) managed with colposcopy at our university-based clinic between May 2011 and April 2013 were identified. Demographics and pathologic data were collected including age, race, parity, smoking status, screening history, and histology. Student t test and χ tests were used to compare women with and without CIN 2 or 3. Univariate analysis was performed with demographic data. One thousand fifty-eight women with a mean (SD) age of 22.5 (1.1) were included. Most patients (59.5%) were parous, 36.1% were smokers, and most (52.9%) were black. These patients were considered high risk because of their lower socioeconomic status, minority status, lack of insurance, or having Medicaid and therefore had limited access to preventative health care. Based on colposcopy, the prevalence of CIN 2+ was 19.1%: ...Continue Reading

References

Feb 12, 1998·The New England Journal of Medicine·G Y HoR D Burk
Nov 9, 2004·Lancet·Anna-Barbara MoscickiTeresa M Darragh
Aug 11, 2007·American Journal of Obstetrics and Gynecology·Kathleen MooreMichael A Gold
Sep 18, 2007·Journal of Pediatric and Adolescent Gynecology·Karin FuchsLori A Boardman
Oct 2, 2007·American Journal of Obstetrics and Gynecology·Thomas C WrightUNKNOWN 2006 American Society for Colposcopy and Cervical Pathology-sponsored Consensus Conference
Oct 6, 2007·Journal of Lower Genital Tract Disease·Thomas C WrightUNKNOWN 2006 ASCCP-Sponsored Consensus Conference
Nov 28, 2008·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists
Feb 24, 2010·Obstetrics and Gynecology·Claudia L WernerKenneth J Leveno
Nov 26, 2010·Obstetrics and Gynecology·Anna-Barbara MoscickiStephen Shiboski
May 12, 2012·The Lancet Oncology·Catherine de MartelMartyn Plummer
Jul 4, 2012·International Journal of Cancer. Journal International Du Cancer·Freddie BrayJacques Ferlay
Jul 24, 2012·Journal of Women's Health·Olusola AdegokeBeth Virnig
Oct 24, 2012·Obstetrics and Gynecology·Vicki B BenardMona Saraiya
Dec 4, 2012·International Journal of Gynecological Pathology : Official Journal of the International Society of Gynecological Pathologists·Teresa M DarraghUNKNOWN Members of the LAST Project Work Groups
Apr 4, 2013·Journal of Lower Genital Tract Disease·Hormuzd A KatkiWalter K Kinney
Apr 19, 2013·Journal of Lower Genital Tract Disease·Britt K EricksonJ Michael Straughn
May 3, 2013·Obstetrics and Gynecology·L Stewart MassadUNKNOWN 2012 ASCCP Consensus Guidelines Conference
Jan 8, 2014·Gynecologic Oncology·Walter KinneyUNKNOWN New Mexico HPV Pap Registry Steering Committee
May 3, 2014·Obstetrics and Gynecology·Shayna N ConnerMethodius G Tuuli
Jan 9, 2015·Obstetrics and Gynecology·Walter KinneyWarner Huh
Jun 1, 2016·Journal of Lower Genital Tract Disease·Haller J SmithBritt K Erickson

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bowen's Disease

Bowen's disease is thought of as an easily-treatable early stage of skin cancer, characterized by red, scaly patches on the skin. Discover the latest research on Bowen's disease here.