Frequency of nondiagnostic findings on colposcopy: implications for management.

James Nuovo, L. Kreiter

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

BACKGROUND: This study examines the frequency of nondiagnostic findings from colposcopic biopsies at the University of Washington Family Medical Center Colposcopy Clinic and reviews the literature for any current recommendations for management of such cases. METHODS: We reviewed 138 consecutive colposcopy reports covering the period from January 1990 to August 1991 from the Colposcopy Clinic at the University of Washington Family Medical Center. Nondiagnostic results were defined as those negative for dysplasia (atypia, inflammation, hyperkeratosis, and parakeratosis). RESULTS: Of 138 endocervical curettages 25 (18.1 percent) had nondiagnostic findings, while of 206 ectocervical biopsies 104 (50.5 percent) had nondiagnostic findings. Of the 138 patients examined, 41 (29.7 percent) had a nondiagnostic biopsy as the most notable finding. CONCLUSION: Nondiagnostic colposcopic biopsy results occur frequently at the University of Washington Family Medical Center. The meaning of these equivocal results remains unclear. We need a further study of the natural history of such patients to determine appropriate recommendations for management.

Original languageEnglish (US)
Pages (from-to)209-214
Number of pages6
JournalThe Journal of the American Board of Family Practice / American Board of Family Practice
Volume6
Issue number3
StatePublished - May 1993
Externally publishedYes

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Colposcopy
Biopsy
Parakeratosis
Curettage
Case Management
Natural History
Inflammation

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

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title = "Frequency of nondiagnostic findings on colposcopy: implications for management.",
abstract = "BACKGROUND: This study examines the frequency of nondiagnostic findings from colposcopic biopsies at the University of Washington Family Medical Center Colposcopy Clinic and reviews the literature for any current recommendations for management of such cases. METHODS: We reviewed 138 consecutive colposcopy reports covering the period from January 1990 to August 1991 from the Colposcopy Clinic at the University of Washington Family Medical Center. Nondiagnostic results were defined as those negative for dysplasia (atypia, inflammation, hyperkeratosis, and parakeratosis). RESULTS: Of 138 endocervical curettages 25 (18.1 percent) had nondiagnostic findings, while of 206 ectocervical biopsies 104 (50.5 percent) had nondiagnostic findings. Of the 138 patients examined, 41 (29.7 percent) had a nondiagnostic biopsy as the most notable finding. CONCLUSION: Nondiagnostic colposcopic biopsy results occur frequently at the University of Washington Family Medical Center. The meaning of these equivocal results remains unclear. We need a further study of the natural history of such patients to determine appropriate recommendations for management.",
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T1 - Frequency of nondiagnostic findings on colposcopy

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AU - Nuovo, James

AU - Kreiter, L.

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N2 - BACKGROUND: This study examines the frequency of nondiagnostic findings from colposcopic biopsies at the University of Washington Family Medical Center Colposcopy Clinic and reviews the literature for any current recommendations for management of such cases. METHODS: We reviewed 138 consecutive colposcopy reports covering the period from January 1990 to August 1991 from the Colposcopy Clinic at the University of Washington Family Medical Center. Nondiagnostic results were defined as those negative for dysplasia (atypia, inflammation, hyperkeratosis, and parakeratosis). RESULTS: Of 138 endocervical curettages 25 (18.1 percent) had nondiagnostic findings, while of 206 ectocervical biopsies 104 (50.5 percent) had nondiagnostic findings. Of the 138 patients examined, 41 (29.7 percent) had a nondiagnostic biopsy as the most notable finding. CONCLUSION: Nondiagnostic colposcopic biopsy results occur frequently at the University of Washington Family Medical Center. The meaning of these equivocal results remains unclear. We need a further study of the natural history of such patients to determine appropriate recommendations for management.

AB - BACKGROUND: This study examines the frequency of nondiagnostic findings from colposcopic biopsies at the University of Washington Family Medical Center Colposcopy Clinic and reviews the literature for any current recommendations for management of such cases. METHODS: We reviewed 138 consecutive colposcopy reports covering the period from January 1990 to August 1991 from the Colposcopy Clinic at the University of Washington Family Medical Center. Nondiagnostic results were defined as those negative for dysplasia (atypia, inflammation, hyperkeratosis, and parakeratosis). RESULTS: Of 138 endocervical curettages 25 (18.1 percent) had nondiagnostic findings, while of 206 ectocervical biopsies 104 (50.5 percent) had nondiagnostic findings. Of the 138 patients examined, 41 (29.7 percent) had a nondiagnostic biopsy as the most notable finding. CONCLUSION: Nondiagnostic colposcopic biopsy results occur frequently at the University of Washington Family Medical Center. The meaning of these equivocal results remains unclear. We need a further study of the natural history of such patients to determine appropriate recommendations for management.

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