Blog dedicated to the continuous education in Gynecology and Endocrinology

 

SPECIFIC TIMING FOR COLPOSCOPY: IS IT WORTHWHILE?

Obstet Gynecol. 2008 Feb;111(2):373-377. Links
Carcopino X, Akkawi R, Conroy R, Prendiville W.

OBJECTIVE: To estimate if the time of the menstrual cycle would improve the chance of seeing the squamocolumnar junction at colposcopy. METHODS: A retrospective study was conducted on 1,248 patients with normal menstrual cycles who attended our colposcopy clinic between 2003 and 2007. Timing of colposcopy, parity, contraception, smoking status, and visibility of the transformation zone were recorded for analysis. The transformation zone was classified as type 1 when completely ectocervical and fully visible, type 2 when it was partially endocervical but fully visible, and type 3 when not fully visible. RESULTS: No significant difference was found between the rate of types 1, 2, or 3 transformation zone observed in patients who were examined during the second week of their menstrual cycles and the others (P=.581). Compared with women in the first week of their menstrual cycle, those on the 22nd day or later were significantly more likely to have a type 1 transformation zone at colposcopic examination (odds ratio [OR]=1.6, P=.029, logistic regression using day 1 to 7 as baseline). The probability for a patient to have a type 1 transformation zone declined with age (OR=0.59, P<.001), parity (OR=0.47, P<.001), and smoking status (OR=0.55, P<.001), whereas it increased with the use of combined oral contraception (OR=2.7, P<.001). Adjusting for these factors, we found no statistically significant effect of the time of cycle on the visibility of the transformation zone. CONCLUSION: Timing colposcopy during the menstrual cycle does not improve the visibility of the transformation zone and is not recommended.

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SPECIFIC TIMING FOR COLPOSCOPY: IS IT WORTHWHILE?

Obstet Gynecol. 2008 Feb;111(2):373-377. Links
Carcopino X, Akkawi R, Conroy R, Prendiville W.

OBJECTIVE: To estimate if the time of the menstrual cycle would improve the chance of seeing the squamocolumnar junction at colposcopy. METHODS: A retrospective study was conducted on 1,248 patients with normal menstrual cycles who attended our colposcopy clinic between 2003 and 2007. Timing of colposcopy, parity, contraception, smoking status, and visibility of the transformation zone were recorded for analysis. more

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ACCURACY OF COLPOSCOPY IN THE DIAGNOSTIC SETTING COMPARED WITH THE SCREENING SETTING.

Obstet Gynecol. 2008 Jan;111(1):7-14.

Cantor SB, Cárdenas-Turanzas M, Cox DD, Atkinson EN, Nogueras-Gonzalez GM, Beck JR, Follen M, Benedet JL.

OBJECTIVE: To estimate the accuracy of colposcopy to identify cervical precancer in screening and diagnostic settings. METHODS: As part of a larger clinical trial to evaluate the diagnostic accuracy of optical spectroscopy, we recruited 1,850 patients into a diagnostic or a screening group depending on their history of abnormal findings on Papanicolaou tests. more

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DIAGNOSTIC UTILITY OF ENDOCERVICAL CURETTAGE IN WOMEN UNDERGOING COLPOSCOPY FOR EQUIVOCAL OR LOW-GRADE CYTOLOGIC ABNORMALITIES.

1) Obstet Gynecol. 2007 Aug;110(2):288-295.

Solomon D, Stoler M, Jeronimo J, Khan M, Castle P, Schiffman M.

OBJECTIVE: To estimate the diagnostic yield of endocervical curettage (ECC) when performed as part of a colposcopic procedure in the multicenter ASCUS-LSIL Triage Study (ALTS), a randomized trial of management strategies for women with equivocal or mildly abnormal cytology. METHODS: A total of 1,119 women in ALTS had colposcopic examinations that included an ECC performed at the discretion of the colposcopist. more

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