Material and methods: We have analyzed all cases with ACG who attended our colposcopy clinic between All cases were followed for a period of at least 36 months after the diagnosis of AGC on Pap smear.
Medical records were reviewed to determine the clinical data, colposcopy findings and histology results. Normal colposcopy, minor colposcopy changes, major colposcopy changes and suspicion of invasion were encountered in 44 cases The colposcopy was not hpv virus and colposcopy transformation zone type III in 13 cases Conclusions: The ACG diagnosis needs new strategies in order to reduce the overtreatment but not hpv virus and colposcopy increase the false negative results.
Colposcopy is useful in cases with associated squamous cervical lesions, but new diagnostic tools are mandatory for a better management.
The transformation zone is usually fully examined in this situation because the endocervical columnar epithelium becomes externalized after the 20th gestational week. Colposcopy is recommended for all pregnant women, including adolescents with HSIL. Biopsy of suspicious CIN 2, 3 or neoplastic lesions is preferred.
A possible one is represented by Human Papilloma Virus test, but the place of this test should be clarified by further studies.
Author Biographies D. Cervical cytology reported as negative and risk of adeno-carcinoma of the cervix: no strong evidence of benefit.
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- Hpv virus and smears, COLPOSCOPY IN PATIENTS WITH ATYPICAL GLANDULAR CELLS ON PAP SMEARS
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Br J Cancer ; Adenocarcinoma in situ of the cervix: management and outcome. Gynecol Oncol ; Cervical cancer in the Netherlands decrease of squamous cell carcinoma in older women, increase of adenocarcinoma in younger women.
Int J Cancer ; Raab SS.
Cervical cancer & intraepithelial neoplasia - causes, symptoms, diagnosis, treatment, pathology
Can glandular lesions be diagnosed in pap smear cytology? Diagn Cytopathol ; Kurman RJ, Solomon D eds.
New York: Springer, The Bethesda System: terminology for reporting results of cervical cytology. JAMA ; The role of cervical cytology and colposcopy in detecting cervical glandular neoplasia. Cytopathology ; Atypical glandular cells of undetermined significance: clinically significant lesions and means of patient follow-up.
Cancer 25; Clinical significance of atypical glandular cells on cervical cytology.
Obstet Bea pentru a vindeca paraziții ; European guidelines for quality assurance in cervical cancer screening: recommendations for clinical management of ab-normal cervical cytology, part 1. Cytopathology ; 1: Colposcopy of adenocarcinoma in situ and invasive adenocar-cinoma of the cervix.
Obstet Gynecol Clin North Am ; BJOG ; Evaluation of atypical glandular cells of undetermined significance: is age important? Am J Obstet Gynecol ; Human papillomavirus DNA detection and histological findings in women referred for atypical glandular cells or adenocarcinoma in situ in their Pap smears.
Use of human papillomavirus testing in the management of atypical glandular cells. J Low Genit Tract Dis ; J Cancer Educ ; Atypical glandular cells of undeter-mined significance: a five-year retrospective histopathologic study.
Evaluarea colposcopică şi managementul infecţiei cu HPV în sarcină Hpv virus and colposcopy Material and methods: We have analyzed all cases with ACG who attended our colposcopy clinic between All cases were followed for a period of at least 36 months after the diagnosis of Hpv virus and colposcopy on Pap smear. Medical records were reviewed to determine the clinical data, colposcopy findings and histology results. Normal colposcopy, minor colposcopy changes, major colposcopy changes and suspicion of invasion were encountered in 44 cases The colposcopy was not satisfactory transformation zone type III in 13 cases Conclusions: The ACG diagnosis needs new strategies in order to reduce the overtreatment but not to increase the false negative results.
Preliminary results of the first cervical cancer screening programme in the North Eastern region of Romania. J Med Screen ; Perception and use of Pap smear screening among rural and urban women in Romania.
Eur Hpv virus and colposcopy Public Health ;