No abstract available.
Colposcopy*

No abstract available.
Classification* ; Colposcopy*

The Internet is a massively expanding body of information which includes medical resources. It is easier than in the past for anyone with some knowledge and effort to access the Internet. Medical professionals as well as patients have a similar ability to research a medical topic through the Internet. As medical professionals, we are concerned whether the medical information found on the Internet by patients is current and accurate. There are relatively few reports that critically examine where patients and family members acquire medical information. To assess the accuracy and completeness of information regarding colposcopy on the Internet, we categorized and defined the information on the Internet through systematic study. We chose eight search engines available on the homepage of Explorer to search and analyze the information obtained from a search for the topic of colposcopy. In addition, we analyzed whether the colposcopy information contained peer-review or reference in order to evaluate its reliability. The numbers of uniform/universe resource locators (URLs) varied considerably, ranging from 11 to 23300, when we tested the search engines using different combinations of capitalization and spellings. Descriptions of information from 181 sites located by a search engine (Yahoo) were also evaluated into five types, ranging from diagnostic to anecdotal information. In terms of the peer-review system, inaccurate or misleading information was found on web pages which might lead patients to doubt and distrust their medical specialists whose information was contradictory to that which they had obtained themselves. We recognize that the Internet has a positive and potential power in partnership with medical professionals to educate patients, helping them to overcome their disease. Nevertheless, we suggest the need to take an active role in identifying the Web sites containing accurate medical information and evaluating their quality.
*Colposcopy ; Human ; *Internet ; *Medical Informatics

No abstract available.
Cervical Intraepithelial Neoplasia* ; Colposcopy* ; Conization*

No abstract available.
Colposcopy* ; Early Diagnosis* ; Uterine Cervical Neoplasms*

OBJECTIVE: The aim of this study was to evaluate the predictive factors of residual disease for positive conization margins. METHODS: Retrospective study was performed in 735 patients treated with bovie electroknife conization at the University Hospital of Kuro between January, 1988 and December, 2003. Of the 735 patients, 81 patients (11.0%) had positive margins after conization. 58 of these 81 patients underwent either immediate reoperation or monitoring with a Pap smear, HPV test, endocervical curettage and colposcopy. Fisher exact test, Trend test were used for statistical analysis. RESULTS: The mean age of the patients was 44.5 years. 27 of 58 patients (46.6%) undergoing conization followed by reoperation had residual lesion in the specimen obtained by reoperation. Severity of lesion was associated with the predictive factors of residual disease (p<0.05). Age of patients, site of resection margins were not associated with the predictive factors of residual disease. But more sufficient number of cases of Pap smear, HPV test, endocervical curettage and colposcopy directed biopsy are thought to be needed for stastistical analysis. CONCLUSION: Severity of lesion is useful in predicting residual disease for positive conization margins.
Biopsy ; Colposcopy ; Conization* ; Curettage ; Humans ; Reoperation ; Retrospective Studies

OBJECTIVE: The purpose of this study is to evaluate the role of cold knife conization in the diagnosis and treatment of cervical neoplasia. METHODS: Sixty patients were divided into diagnostic and therapeutic conization group and then indication of conization, PAP smear, colposcopy directed biopsy, cone margin and residual lesion of each group were compared respectively. RESULTS: If the difference of PAP and colposcopy directed biopsy was 2 grades or more, upper limit of the lesion was invisible, squamocolumnar junction was not seen, PAP V or invasive cancer was suspected, diagnostic conization was performed in 22 patients. Six cases of follow-up group had cone margin (-) and no recurrence. Sixteen cases of immediate TAH (total abdominal hysterectomy) group had 2 cases of cone margin (+) with residual disease. There were 4 cases of cone margin (-) with residual lesion. If the difference of PAP and colposcopy directed biopsy was 1 grade or less, upper limit of the lesion was visible, squamocolumnar junction was seen and invasive cancer was ruled out, therapeutic conization was performed in 38 cases. All of therapeutic conization group had cone margin (-). Thirty two cases were follow up group and six cases were immediate TAH group. Three of follow up group had recurrences and delayed TAH was performed. There was no residual lesion in the specimen of immediate TAH group. CONCLUSION: The precise dignosis and treatment of cervical neoplasia was capable with cold knife conization. The more aggressive lesion or the more cases of cone margin (+) was diagnosed, the more residual lesion was found. Thorough follow up should be done after treatment of cervical neoplasia because of the possibility of residual disease even after documentation of cone margin (-).
Biopsy ; Colposcopy ; Conization* ; Diagnosis ; Follow-Up Studies ; Humans ; Recurrence

This study was carried out to establish qualitative diagnosis on colposcopy. Pthological presumption was performed colposcopically on caaes consisting of 60 carcinoma in situ, 12 mierninvasive carcinoma and 56 stage Ib cancer based on colp~nscopic findings. Charar.teristic features of colposcopic findings in each clinical stage are as follows: 1. In CIS, single fiings of white epithelium appeared mainly, and double findings out of mosaic, punctation and white epithelium followed. Atypical vessels rarely detected. Concerning circumferential expanse, grade Ill findings recognizedless than half, 2. In microinvasive carcinoma, moaic with central or penetrating vesse1s and dilated or crooked atypical vessels appeared. 3. IC findings were predominant in stage Ib cancer except some cases.
Carcinoma in Situ ; Cervix Uteri* ; Colposcopy ; Diagnosis ; Epithelium ; Female

A cross sectional retrospective study was conducted on 290 patients aged 19- 78 years old at Hung Vuong Hospital from July 2000 to July 2003, with PAP's smear, colposcopy and biopsy. Result showed that non benignant smear accosted for 16,9% non benignant colposcopy 28,6%, non benignant biopsy 35,2%. In comparing with the number of patients submited to consultation, the rate of smear 78,04% among then 0,13% were detected with any pathology and the rate of colposcopy 20,91% and 0,98% with any pathology
Vaginal Smears ; diagnosis ; colposcopy ; Biopsy ; Uterine Cervical Diseases

OBJECTIVE: To determine a guideline on the cytologic diagnosis of ASCUS and to develope the relationship between cervical ASCUS and the eating habits in asymptomatic women. STUDY DESIGN: A total of 222 women with a cytologic diagnosis of ASCUS favoring either reactive change or squamous intraepithelial lesion(SIL) were evaluated by repeated Pap smear and colposcopy directed biopsy respectively. At the same time, eating habits of them were obtained by the questionnaire. RESULTS: Among the 157 women who had a cervical cytologic diagnosis of ASCUS favoring reactive change, 133 women(84.7%) were normal by repeated smear and/or cervical tissue biopsy. Twenty four(15.3%) of 157 women had squamous intraepithelial lesion. Among the 65 women who had a cervical cytologic diagnosis of ASCUS favoring SIL, 26(40%)were normal by repeated smear and/or cervical tissue biopsy. Thirty nine(60%) of 65 women had SIL. The confirmed SIL group showed the eatig habits of increased intake of processed food(6.67%).The other reactive group was lower(2.56%). CONCLUSION: A cytologic diagnosis of ASCUS favoring reactive change was associated with a very low risk of haboring SIL. But the woman whose initial smear showed ASCUS favoring SIL was associated with a relatively high risk of harboring SIL(p<0.001). Therefore, the woman whose smear showed ASCUS favoring SIL requires further active management even in the presence of a normal repeated pap smear. The ASCUS group favoring SIL showed the habits of increased dietary intake of processed food(P<0.05). Further study with large number of patients seems warranted.
Biopsy ; Colposcopy ; Diagnosis ; Eating* ; Female ; Humans ; Surveys and Questionnaires