Study objective: To determine colposcopic findings among adolescents and to determine compliance with management recommendations. Design: Retrospective review of colposcopy logs and patient charts Setting: Two urban resident colposcopy clinics, Participants: Low-income, predominantly minority girls 16 years of age or younger referred for evaluation of abnormal cervical cytology. Intervention: Colposcopy with directed biopsy. Main outcome measures: Histologic findings in colposcopic biopsies and compliance with management recommendations. Results: 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. Conclusions: The prevalence of dysplasia among adolescents referred for colposcopy is substantial, and better strategies are needed to ensure proper follow-up.
|Number of pages||5|
|Journal||Journal of Pediatric and Adolescent Gynecology|
|State||Published - Nov 1996|
- Cervical cancer screening
- Cervical cytology