O'Connor, Mortimer B
AffiliationDept. of GU/STD Medicine, Mid-Western Regional Hospital, Limerick, Ireland. Catherine.OConnor@mailh.hse.ie
MetadataShow full item record
CitationAn audit of Colposcopy referrals from a GU/STD clinic. 2008, 1:24 BMC Res Notes
JournalBMC research notes
AbstractBACKGROUND: Cervical cancer is increasing at 1.5% per year in Ireland with 50% mortality giving 2.2% of all cancer deaths. In the Mid-West region a pilot screening programme has begun to screen all women 25-60 years. 66% of Genitourinary/Sexually transmitted disease (GU/STD) clinics' abnormal smears are <25 years. Requests to abandon "opportunistic" screening prompted this GU/STD clinic audit. METHODS: 221(8.4%) patients referred to colposcopy over 4 years were audited. Retrospective analysis was carried out on GU/STD clinic files, hospital files and computer records for biopsy reports. Ethical approval was prospectively granted. RESULTS: 2637 smears were carried out from November 1999 - September 2003.221 patients referred to colposcopy were audited.1%, 3%, 5% had severe, moderate and, mild dyskaryosis, respectively, on cervical screening while 0.8%, 1.2%, 1.5% had CIN3, CIN2, CIN1 abnormalities, respectively, on biopsy with 3.5% having no abnormality (Cervical Intraepithelial Neoplasia = CIN).53% referred to colposcopy were <25 years. CONCLUSION: 2% had high grade lesions. 37% of high grade lesions are <25 years.Of the high grade lesions 13% had Chlamydia trachomatis (27% of CIN3) and 44% had HPV despite Relative Risks (RR) being 0.75 and 1.09 respectively. Older women had higher grade changes. No statistical difference was found for progression, regression and persistence in those over and under 25.
- Management of women with abnormal cervical cytology: treatment patterns and associated costs in England and Wales.
- Authors: Martin-Hirsch P, Rash B, Martin A, Standaert B
- Issue date: 2007 Apr
- Immediate referral to colposcopy versus cytological surveillance for low-grade cervical cytological abnormalities in the absence of HPV test: A systematic review and a meta-analysis of the literature.
- Authors: Kyrgiou M, Kalliala I, Mitra A, Ng KY, Raglan O, Fotopoulou C, Martin-Hirsch P, Paraskevaidis E, Arbyn M
- Issue date: 2017 Jan 1
- Differences in biologic maturation, sexual behavior, and sexually transmitted disease between adolescents with and without cervical intraepithelial neoplasia.
- Authors: Moscicki AB, Winkler B, Irwin CE Jr, Schachter J
- Issue date: 1989 Sep
- Screening for cervical intraepithelial neoplasia and cancer in the Sheffield STD clinic.
- Authors: Alawattegama AB
- Issue date: 1984 Apr