Abnormal "low grade" transformation zone: current diagnostic gold standard

Eur J Gynaecol Oncol. 2002;23(1):45-9.

Abstract

The aim of this work was to examine different methods of investigation in the diagnosis of the abnormal "low grade" transformation zone of the portio. Over a period of one year 41 patients subjected to colposcopic examination underwent exo-endocervical sampling for oncologic evaluation and for detection of viral and bacterial infections (HPV, HSV, adenovirus, mycoplasmas and chlamydia trachomatis), as well as portio biopsy. A 65.8% correlation was found between cytology and the HPV-DNA test results, while histology and the presence of the HPV virus agreed in 51.4% of cases. In those cases in which minimal histological alterations were found (koilocytosis) a high percentage of HPV negativity was found. In discordant negative cytologic tests that were however positive for HPV by PCR, the genotypes identified were always 6 and 11.

Publication types

  • Comparative Study

MeSH terms

  • Base Sequence
  • Biopsy, Needle
  • Cell Transformation, Neoplastic / pathology*
  • Chlamydia Infections / diagnosis
  • Chlamydia Infections / pathology
  • Colposcopy
  • Female
  • Humans
  • Immunohistochemistry
  • Molecular Sequence Data
  • Papillomavirus Infections / diagnosis
  • Papillomavirus Infections / pathology
  • Polymerase Chain Reaction / methods*
  • Polymerase Chain Reaction / standards
  • Precancerous Conditions / microbiology*
  • Precancerous Conditions / pathology*
  • Sensitivity and Specificity
  • Uterine Cervical Dysplasia / diagnosis
  • Uterine Cervical Dysplasia / microbiology*
  • Uterine Cervical Dysplasia / pathology*
  • Vaginal Smears / standards