ISSN 1301 - 0883 / E-ISSN 1309 - 3886
 
 








  Comparison of Pap-smear and Colposcopy in the Absence of HPV Test for the Diagnosis of Premalignant and Malignant Cervical Lesions [Eastern J Med]
Eastern J Med. 2020; 25(2): 299-304 | DOI: 10.5505/ejm.2020.21548  

Comparison of Pap-smear and Colposcopy in the Absence of HPV Test for the Diagnosis of Premalignant and Malignant Cervical Lesions

Süleyman Cemil Oğlak1, Mehmet Obut2
1University of Health Sciences, Diyarbakır Gazi Yaşargil Training and Research Hospital, Department of Obstetrics and Gynecology, Diyarbakır, Turkey
2Etlik Zübeyde Hanım Maternity and Women

INTRODUCTION: In this study, we aimed to evaluate the Pap-smear results and colposcopic findings of 163 patients admitted to the colposcopy unit of our hospital with the histopathological examination results of cervical sampling for abnormal Pap-smear and/or colposcopy findings in the absence of HPV test.
METHODS: All patients underwent gynecological examination, and Pap-smear test was performed. Subsequently, the cervix was examined by colposcopy. Local medical treatment, Pap-smear follow up, cervical sampling or surgery was recommended according to Pap-smear, colposcopic examination results and other clinical examination findings.
RESULTS: Negative predictive value (NPV), positive predictive value (PPV), sensitivity and specificity of Pap-smear were 88.1%, 13.3%, 28.5% and 74%, respectively. NPV, PPV, sensitivity and specificity of colposcopy were 93.3%, 14.3%, 85.7 and 76.2%, respectively.
DISCUSSION AND CONCLUSION: The combined use of Pap-smear and colposcopy in the detection of premalignant and malignant lesions of the cervix increases the success and enables early diagnosis and appropriate treatment in the absence of HPV test.

Keywords: Colposcopy, Pap-smear, cervical malignancy.


Süleyman Cemil Oğlak, Mehmet Obut. Comparison of Pap-smear and Colposcopy in the Absence of HPV Test for the Diagnosis of Premalignant and Malignant Cervical Lesions. Eastern J Med. 2020; 25(2): 299-304

Corresponding Author: Süleyman Cemil Oğlak, Türkiye


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