SavedAdd your journal

Journals / Türk Jinekoloji ve Obstetrik Derneği Dergisi / 2011 / Cilt: 8 - Sayı: 3

Postcoital bleeding: Colposcopic and clinicopathologic evaluation

Postkoital kanama: Kolposkopik ve klinikopatolojik değerlendirme

Behiye Pınar GÖKSEDEF
Şafak Yılmaz BARAN
Onur KAYA
Ahmet ÇETİN
Saime Gül BARUT
Pages
195–199
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Even if, most of the cases with postcoital bleeding have benign lesions, colposcopy should be performed because of increased incidence of high grade CIN and invasive neoplasia.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: To determine the demographic, clinical, cytologic, colposcopic findings in women with postcoital bleeding Material and methods: Forty-eight premenopausal women with postcoital bleeding were referred to colposcopy unit between September 2009 and September 2010.
📊
Key Findings & Data:Data were analyzed with SPSS 17.0.
💡
Conclusion & Impact:Conclusion: Even if, most of the cases with postcoital bleeding have benign lesions, colposcopy should be performed because of increased incidence of high grade CIN and invasive neoplasia.
🔬Design:Research Article
📍Scope:2009 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: To determine the demographic, clinical, cytologic, colposcopic findings in women with postcoital bleeding Material and methods: Forty-eight premenopausal women with postcoital bleeding were referred to colposcopy unit between September 2009 and September 2010. Demographic features, cervical cytology results, colposcopic diagnosis and biopsy reports of cases were evaluated. Data were analyzed with SPSS 17.0. Results: The median age was 37 (23-49). Most of the cases did not use a contraceptive method (n=17, 35.4%) and were monogamous (n= 45, 93.8%) and multiparous (n=36, 75%). Cervical cytology identified 5 patients with ASCUS/ LSIL, 2 with ASC-H and 3 with HSIL. Out of the 48 cases, 38 women had normal findings at colposcopy (79.2%)and 6 women had high grade cervical intraepithelial neoplasia (CIN 2/3) and invasive carsinoma (12.5%). Biopsy was taken from 39.6% of patients after colposcopic evaluation. Four cases were reported as CIN 1 (8.4%), 1 case as CIN 2 (2.1%), 1 case as CIN 3 (2.1%) and 2 cases as invasive carcinoma (4.2%) according to histopathologic evaluation. Conclusion: Even if, most of the cases with postcoital bleeding have benign lesions, colposcopy should be performed because of increased incidence of high grade CIN and invasive neoplasia.

Özet

Amaç: Postkoital kanama şikayeti olan olguların, demografik, klinik, sitolojik, kolposkopik ve patolojik bulgularının ortaya konmasıdır. Gereç ve yöntemler: Eylül 2009-Eylül 2010 tarihleri arasında jinekoloji polikliniğine postkoital kanama şikayeti ile başvurup kolposkopi ünitesine yönlendirilen 48 premenopozal olgu değerlendirmeye alındı. Olguların demografik özellikleri, smear sonuçları, kolposkopik tanıları ve biyopsi raporları değerlendirildi. Bulgular SPSS 17.0 ile analiz edildi. Bulgular: Ortanca yaş 37 (23-49) olarak saptandı. Olguların çoğunluğu korunma yöntemi kullanmamakta (n=17, 35.4),tek eşli (n= 45, %93.8) ve multipariteye sahipti (n=36, %75). ASC-US/LSIL smear değişikliği 5 (%10.5) olguda, ASC-H smear bulgusu 2 (%4.2) olguda izlenirken; HSIL 3 (%6.3) olguda tespit edildi. Kolposkopide en sık servikal preinvazif/invazif lezyonlar için negatif bulgular (%79.2) olup, yüksek dereceli CIN lezyonu (CIN 2/3) ve invazif kanser bulgusu 6 olguda izlendi (%12.5). Kolposkopi sonras› %39.6 olgudan biyopsi alındı. Histolojik değerlendirme sonrasında 4 olguda CIN 1 (%8.4), 1 olguda CIN 2 (%2.1), 1 olguda CIN 3 (%2.1) ve 2 olguda invazif kanser (%4.2) saptandı. Sonuç: Postkoital kanama ile başvuran olgularda çoğunlukla benign bulgular saptanmasına rağmen, yüksek dereceli CIN ve invazif kanser insidansındaki artış nedeniyle kolposkopik olarak değerlendirme gerekmektedir.

🔖

Cite This Article

GÖKSEDEF, B. P., BARAN, Ş. Y., KAYA, O., ÇETİN, A., BARUT, S. G. (2022). Postcoital bleeding: Colposcopic and clinicopathologic evaluation. Türk Jinekoloji ve Obstetrik Derneği Dergisi, Cilt: 8 - Sayı: 3, 195–199. https://ajindex.com/articles/631613

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Shapley M, Jordan J, Croft PR. A systematic review of postcoital bleeding and risk of cervical cancer. Br J Gen Pract 2006; 56(527): 453- 60
  2. Alfhaily F, Ewies AA. Postcoital bleeding: a study of the current practice amongst consultants in the United Kingdom. Eur J Obstet Gynecol Reprod Biol. 2009 May; 144(1): 72- 5
  3. Harry VN, Cruickshank ME, Parkin DE. Auditing the use of colposcopy versus general gynecology clinics to investigate women with postcoital or intermenstrual bleeding: a case for a new outpatient service. J Low Genit Tract Dis. 2007 Apr; 11(2): 108- 11
  4. Selo-Ojeme DO, Dayoub N, Patel A, Metha M. A clinicopathological study of postcoital bleeding. Arch Gynecol Obstet 2004; 270(1): 34- 6
  5. Pardanani NS, Tischler LP, Brown WH, Feo ED. Carcinoma of cervix: evaluation of treatment in community hospital. N Y State J Med 1975; 75(7): 1018- 21
  6. Pretorius R, Semrad N, Watring W, Fotheringham N. Presentation of cervical cancer. Gynecol Oncol 1991; 42(1): 48- 53
  7. Shalini R, Amita S, Neera MA. How alarming is post-coital bleeding-a cytologic, colposcopic and histopathologic evaluation. Gynecol Obstet Invest 1998; 45(3): 205- 8
  8. Rosenthal AN, Panoskaltsis T, Smith T, Soutter WP. The frequency of significant pathology in women attending a general gynaecological service for postcoital bleeding. BJOG 2001; 108(1): 103- 6
  9. Jha S, Sabharwal S. Outcome of colposcopy in women presenting with postcoital bleeding and negative or no cytology-results of a 1-year audit. J Obstet Gynaecol 2002; 22(3): 299- 301
  10. Luesley D, Leeson S. Colposcopy and programme management. Guidelines for the NHS cervical screening programme. NHSCSP Publication No
  11. Sheffield, UK: NHSCSP, 2004 11. Department of Health. NHS executive guidelines for referral for suspected cancer. London, UK: Department of Health, 2000
  12. Sahu B, Latheef R, Aboel Magd S. Prevalence of pathology in women attending colposcopy for postcoital bleeding with negative cytology. Arch Gynecol Obstet 2007; 276(5): 471-3
  13. Tehranian A, Rezaii N, Mohit M, Eslami B, Arab M, Asgari Z. Evaluation of women presenting with postcoital bleeding by cytology and colposcopy. Int J Gynaecol Obstet. 2009 Apr; 105(1): 18- 20
  14. Abu J, Davies Q, Ireland D. Should women with postcoital bleeding be referred for colposcopy? J Obstet Gynaecol 2006; 26(1): 45- 7
  15. Noyan V, Yücel A. Postkoital kanamal› hastalarda servikal sitoloji, kolposkopi ve histopatolojik sonuçlar›n de¤erlendirilmesi. Türkiye Kli