Colposcopic and cytologic findings among adolescents referred to two urban teaching hospitals

L. S. Massad, D. Anoina

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)190-194
Number of pages5
JournalJournal of Pediatric and Adolescent Gynecology
Volume9
Issue number4
StatePublished - Nov 1996
Externally publishedYes

Keywords

  • Cervical cancer screening
  • Cervical cytology
  • Colposcopy
  • Compliance
  • Dysplasia

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