Correlation of Abnormal Cervical Screening Cytology and the Final Cervical Neoplasia Histology at Sakon Nakhon hospital :ความสัมพันธ์ของผลการตรวจคัดกรองมะเร็งปากมดลูกกับผลการตรวจทางพยาธิวิทยาในโรงพยาบาลสกลนคร
Abstract
The colposcopy clinic was established at Sakon Nakhon hospital in 2016. The data of patients attended the clinic were collected to analyze the correlation of cytological findings from screening program with final histological from standard management in colposcopy clinic and to improve the treatment guidelines. This was a descriptive study. All patients visited the colposcopy clinic at Sakon Nakhon hospital from September 1st, 2016 to June 30th, 2018 were enrolled. All subjects met the criteria for colposcopy. Final diagnostic histology was obtained by combining the colposcopy and guided biopsy method and diagnostic LEEP under ASCCP Guidelines 2013.
A total of 329 cases were studied. Most of abnormal screening cytology were LSIL (32.8%) and HSIL (25.8%). Thirty six cases (10.9%) were diagnosed with early stage of cervical cancer. CIN2+ and AIS were detected in 107 cases (32.5%) who underwent to treatment. The pathological diagnosis of these patients correlated with HSIL, AIS and ASC-H (72.94%, 66.66% and 46.15% respectively). LSIL and ASCUS were correlated with CIN2+ in 18.50% and 11.47%.
The Correlation between abnormal cervical screening test and final histology was very high concordant in Sakon Nakhon. Therefore, those with ASC-US cytology should undergo colposcopic examination immediately. While the severe abnormal cytology such as HSIL, ASC-H, SCCA, AIS and adenocarcinoma should be managed as “See and treat technique”.
Keywords : Abnormal cervical screening cytology, Pathology of uterine cervix, colposcopy clinic
