Author | Furtado, Yara | |
Author | Almeida, Gutemberg | |
Author | Lima, Roberto | |
Author | Silva, Katia | |
Author | Maldonado, Paula | |
Access date | 2012-12-07T13:54:03Z | |
Available date | 2012-12-07T13:54:03Z | |
Document date | 2011 | |
Citation | FURTADO, Yara et al. Microinvasive squamous carcinoma (FIGO stage IA1) of the cervix: are there colposcopic criteria for the diagnosis?. Am. j. obstet. gynecol., St. Louis, v. 205, n. 4, p. 360.e1-360.e4, oct. 2011. | pt_BR |
URI | https://www.arca.fiocruz.br/handle/icict/5935 | |
Language | eng | pt_BR |
Publisher | Elsevier | pt_BR |
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Rights | restricted access | |
Title | Microinvasive squamous carcinoma (FIGO stage IA1) of the cervix: are there colposcopic criteria for the diagnosis? | pt_BR |
Type | Article | |
DOI | 10.1016/j.ajog.2011.06.036 | |
Abstract | OBJECTIVE: The purpose of this study was to evaluate colposcopic sensitivity in the diagnosis of microinvasive squamous carcinoma of the cervix.
STUDY DESIGN: We conducted a cross-sectional study in 151 patients
from 1991-2008. The colposcopic findings of microinvasion suspicion
were described by the International Federation for Cervical Pathology
and Colposcopy in 2003.
RESULTS: There has been colposcopic suspicion of invasion in 35 patients, which represents a sensitivity of 23%. The major colposcopic
findings that were observed in the transformation zone included acetowhite epithelium in 21% (32/151 patients), coarse punctuation in
19% (29/151 patients), coarse mosaic in 17% (26/151 patients), and
atypical vessels in 3.9% (6/151 patients). Suspicion of microinvasion
was found in 14.5% of unsatisfactory colposcopy and in 8.6% of satisfactory colposcopy.
CONCLUSION: The sensitivity of colposcopy in the diagnosis of microinvasive carcinoma of the cervix was low. Colposcopy plays an important
role in directing the biopsy to the most suspicious area. The definitive
diagnosis of microinvasive squamous carcinoma is established only by
histologic study. | pt_BR |
Affilliation | Universidade Federal do Estado do Rio de Janeiro. Programa de Pós-graduação em Ciência Cirúrgica. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Instituto de Ginecologia. Rio de Janeiro, RJ, Brasil / Universidade do Estado do Rio de Janeiro. Rio de Janeiro, RJ, Brasil | pt_BR |
Affilliation | Universidade Federal do Estado do Rio de Janeiro. Programa de Pós-graduação em Ciência Cirúrgica. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Instituto de Ginecologia. Rio de Janeiro, RJ, Brasil | pt_BR |
Affilliation | Universidade Federal do Rio de Janeiro. Instituto de Ginecologia. Rio de Janeiro, RJ, Brasil | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Centro de Epidemiologia. Rio de Janeiro, RJ, Brasil | pt_BR |
Affilliation | Universidade Federal do Rio de Janeiro. Instituto de Ginecologia. Rio de Janeiro, RJ, Brasil | pt_BR |
Subject | Biopsy | pt_BR |
Subject | Carcinoma | pt_BR |
Subject | Cervix | pt_BR |
Subject | Colposcopy | pt_BR |
Subject | Diagnosis | pt_BR |
DeCS | Biópsia | pt_BR |
DeCS | Carcinoma | pt_BR |
DeCS | Doenças do Colo do Útero | pt_BR |
DeCS | Colposcopia | pt_BR |