The Clinical Significance and The Optimal Management of Atypical Squamous Cells of Undetermined Significance in Cervical Smears.
- Author:
Jung Mook YOON
1
;
Sang Eun LEE
;
Tae Yul HWANG
;
Kyung Min SONG
;
Pyo HONG
;
Soo Kee MIN
;
Seong Ook HWANG
;
Joon Mee KIM
;
Seung Kwon KOH
;
Sook CHO
;
Woo Young LEE
Author Information
1. Department of Obstetrics and Gynecology, InHa Hospital, College of Medicine, InHa University, Sung-Nam, Korea.
- Publication Type:Original Article
- Keywords:
Atypical squamous cells of undetermined significance;
cervical smears
- MeSH:
Anxiety;
Biopsy;
Carcinoma, Squamous Cell;
Colposcopy;
Female;
Follow-Up Studies;
Gynecology;
Humans;
Jurisprudence;
Korea;
Obstetrics;
Retrospective Studies;
Vaginal Smears*
- From:Korean Journal of Obstetrics and Gynecology
2001;44(8):1419-1425
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To evaluate the clinical significance and the optimal management of atypical squamous cells of undetermined significance (ASCUS) in Papanicolaou cervical smears. METHOD: This study included 25380 cases of cervical Pap smears received from January 1995 to June 2000 by the Department of Obstetrics & Gynecology, Inha Hospital, Medical College, the Inha University. Retrospective review was done on 384 cases of ASCUS. RESULT: ASCUS and squamous intraepithelial lesions (SIL) were diagnosed in 384 cases (1.5%), and 311 cases (1.1%), respectively. The ratio of ASCUS to SIL was 1.2. Colposcopic directed biopsies revealed 14 cases (14.1%) of low grade SIL (LSIL), 21 cases (21.2%) of high grade SIL (HSIL), and 2 cases (2.0%) of squamous cell carcinoma. CONCLUSION: The immediate colposcopy with biopsy in women with ASCUS may decrease follow-up visits for Pap testing, reduce patient anxiety, minimize the loss of high risk cases during follow-up and lower medicolegal litigation. The early colposcopy may be the method of choice for follow-up in women with ASCUS in Korea.
