Abstract

GONZALEZ MARINO, Mario Arturo. Cervical pathology and reporting of atypical squamous cells of undetermined significance (ASCUS) in cervical cytology. Rev Colomb Obstet Ginecol [online]. 2003, vol.54, n.3, pp.193-198. ISSN 0034-7434.

Objective: To evaluate the relationship between the cervical pathology and the report of ASCUS (Atypical Squamus Cells of Undetermined Significance) pap in patients from the Liga Contra el Cáncer. Bogotá, Colombia. Methods: This is an observational study of the type of case report. The ASCUS pap smear in the cytologic report of patients with a pathologic diagnosis of coilocitic atypia, condyloma, cervical intraepithelial neoplasia (CIN) I,II,III or invasive carcinoma was chosen to make the analysis by using the EPI INFO program. Results: The ASCUS pap were found in 51(13.6%) out of the 374 pathologic reports selected to be analyzed. In 8 patients previous cervical treatments were undertaken. The biopsy report was coilocytic atypia or condiloma in 31 women, CIN I in 10, CIN II-III in 9 and a biopsy suggestive of adenosquamous neoplasm. An additional information favored a human papilloma lesion in 6 pap reports but a high-grade intraepithelial neoplasm was found in two biopsies. Personal and clinical information is shown. Conclusions: The ASCUS pap involve a range from benign alterations, which are the majority, as well as the possibility of finding a neoplasm so that its report should no be underestimated. The Bethesda 2001 recommendations should select the patients needed of an active treatment. New research is needed on the utility of this classification.

Keywords : cytology; cervix.

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