DEHA DENİZHAN KESKİN, SEDA KESKİN, Ezgi GÜNGÜL ERDOĞAN, Özhan ÖZDEMİR, Oğuz YÜCEL

Endoservikal küretaj: Minimal servikal sitolojik anormalliklerde kolposkopik muayene normal ve yeterli olduğunda

Amaç: Normal ve yeterli kolposkopik muayenesi olan minimal servikal sitolojik anormalliği önemi belirsiz atipik skuamöz hücreli (ASCUS) veya düşük dereceli skuamöz intraepitelyal lezyon (LSIL) bulunan kadınlarda endoser- vikal displazi insidansını saptamak. Materyal ve Metot: Bu retrospektif analiz ASCUS ve LSIL servikal sitolojik anormalliği nedeniyle kolposkopi ünitesine başvuran 951 kadını kapsamaktadır. Hastaların demografik özellikleri ve kolposkopik bulguları değerlen- dirildi. Histopatolojik sonuçlar karşılaştırma amaçlı CİN 1 ve CİN 1den ileri şeklinde iki gruba ayrıldı. Bulgular: Endoservikal küretaj pozitifliği LSILde 6/162 (%3,7), ASCUSda 11/348 (%3,2) idi. Ayrıca CİN 2 ve üzeri lezyon saptanma oranı sırasıyla ASCUS, LSIL ve tüm gruplarda %0,57, %1,85, %0,98 olarak hesaplandı. Sonuçlar: Servikal sitolojisi ASCUS ve LSIL olup yeterli ve normal kolposkopik muayenesi yapılan kadınlarda endoservikal kanalda skuamöz displazi görülme oranı %0,98 ile oldukça düşük olarak bulundu. ASCUS ve LSIL smearli hastalarda ECC kullanımı tartışmalıdır. Biz ECCnin bazı hasta gruplarında güvenle uygulanabileceğini düşünmekteyiz. Çalışmamız retrospektif olarak planlandı, sonuçları doğrulamak için prospektif randomize çalışmalara ihtiyaç vardır.

Endocervical curettage: Minimal cervical cytological abnormalities when colposcopic examination is satisfactory and normal

Background: To estimate the incidence of endocervical dysplasia in women with minimal cervical cytological abnormalities-such as atypical squamous cells of undetermined significance (ASCUS) or low grade squamous intraepithelial lesion (LSIL) who have a satisfactory and normal colposcopic examination. Materials and Methods: This is a retrospective analysis of 951 women who admitted colposcopy unit with ASCUS or LSIL on cervical cytology. Records of demographic data and colposcopic impressions were evaluated. Histopathological results of biopsies and ECC were classified into two categories as cervical intraepithelial lesion 1 (CIN 1) and worse than CIN 1 lesions for comparison. Results: Endocervical curretage (ECC) positivity was 6/162 (3.7%) in LSIL and 11/348 (3.2%) for ASCUS group. Also CIN 2 and higher-grade lesions were found 0.57% in ASCUS group and 1.85% in LSIL group and 0.98% in all groups. Conclusions: The incidence of squamous dysplasia of the endocervical canal was extremely low with the ratio of 0.98% in women who had a satisfactory and normal colposcopic examination and original cervical cytology results of consecutive ASCUS and LSIL. We consider that endocervical curettage might be safely avoided in such patients. Given the retrospective design of this study, further prospective randomised research will be needed to confirm our results.

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