BACKGROUND Ideally, all patients with abnormal Papanicolaou smear cytology results should undergo colposcopic examination of the cervix, but low-grade squamous intraepithelial lesions (LSILs) can also be followed up with further Papanicolaou smear surveillance. The aim of this study was to evaluate the outcome of cytologic surveillance versus immediate colposcopy in women with a cervical smear ...

OBJECTIVES Attendance at colposcopy following an abnormal cervical smear is potentially a highly distressing event. This study evaluates the role of cognitive appraisal components (Lazarus, 1991; Smith et al., 1993) in explaining emotional reactions to this event. We also compare the psychological sequelae of immediate treatment at first colposcopy (See and Treat, ST) vs. colposcopy with treatm...

This European consensus statement on essential colposcopy provides standards for the general colposcopist seeing women referred with an abnormal cervical screening test (including cytology and HPV tests) or a clinically suspicious cervix. The article gives guidance regarding aims conduct of colposcopy. Recommendations are provided technique, management common issues, treatment follow-up after C...

background: abnormal pap smear consists of premalignant or malignant cervical lesions. many of premalignant cervical lesions will never progress to invasive malignancy, or even may regress over the time. thus, there is always a risk of overtreatment of patients with an abnormal pap smear. a long-term follow-up of these patients can reveal final events associated with each  subtype of abnormal p...

OBJECTIVE The aim of the study was to determine, in a wide "real-world" setting, whether digital colposcopy with adjunctive dynamic spectral imaging (DSI) mapping increases the detection of women with high-grade cervical intraepithelial neoplasia (CIN). MATERIALS AND METHODS A multicenter, two-arm, observational, cross-sectional study that recruited women 21 years and older, having colposcopy...

BACKGROUND Large numbers of women who participate in cervical screening require follow-up for minor cytological abnormalities. Little is known about the psychological consequences of alternative management policies for these women. We compared, over 30-months, psychosocial outcomes of two policies: cytological surveillance (repeat cervical cytology tests in primary care) and a hospital-based co...

BACKGROUND The cytological interpretation of ASC-US represents a category of morphologic uncertainty. For patients with this result, other tests are necessary in order to determine the risk for cervical lesions. MATERIALS AND METHODS 198 patients with ASC-US cytology have been analyzed between 2008 and 2013. All the patients included in the study have subsequently had a high oncogenic HPV tes...

Background: Colposcopy has a key role in the diagnostic work-up and management of abnormal cervical cytology, but it might generate negative feelings mainly anxiety pain to patients undergoing such examination. These are interrelated, with fueling painful sensations. The aim our study was investigate effects preliminary administration terms relief that paracetamol would have on colposcopy. Mate...

UNLABELLED The purpose of this review is to demonstrate that colposcopy, introduced in 1925--which is, notably before the development of great technological advances in modern gynecology--continues to be a valid technique without essential innovations to the original method described at the beginning of the last century. Colposcopy was developed in Germany during the rise of Nazism with the Sec...