IMR Press / EJGO / Volume 37 / Issue 2 / DOI: 10.12892/ejgo2848.2016
Open Access Original Research
Immediate risk of HSIL presence in women who have both ASC-US cytology and negative high-risk HPV test
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1 Etimesgut Military Hospital Obstetrics and Gynecology Department, Etimesgut, Ankara, Turkey
2 Etimesgut Military Hospital Pathology Department, Etimesgut, Ankara, Turkey
3 Gulhane Military Medical Academy, Obstetrics and Gynecology Department, Etlik, Ankara, Turkey
Eur. J. Gynaecol. Oncol. 2016 , 37(2), 232–237; https://doi.org/10.12892/ejgo2848.2016
Published: 10 April 2016
Abstract

Purpose: The authors aimed to detect immediate risk of having high grade squamous lesions (HSIL) in atypical squamous cells of uncertain significance(AS-CUS) and concomitant high-risk human papillomavirus (HrHPV) testing as negative [HrHPV(negative)ASCUS]. Materials and Methods: The authors performed immediate/baseline colposcopy on concomitant HrHPV (negative)AS-CUS cases. Pap tests were evaluated with liquid-based cytology (LBC) and HrHPV detection was performed in LBC material with PCR. Colposcopic diagnoses and biopsy results were compared with Pap test and HrHPV test results. Results: There were 104 patients over a oneyear period. In all, 84 cases were included. Colposcopic biopsies revealed low grade squamous intraepithelial lesion (LSIL) in 19 cases (23%) and HSIL in three cases (4%). Intrauterine device use and smoking were significantly correlated with presence of HSIL (p = 0.005 and p = 0.007 respectively). Conclusion: Similar data in literature, 4% of ASC-US-HrHPV (negative) cases are expected to have HSIL in follow-up periods less than six months. The present authors believe clinicians should be more open with their patients about limitations of Pap-HPV testing.
Keywords
ASC-US
Cervical cancer screening
Human papillomavirus
Human papillomavirus DNA tests
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