Colposcopy Value in Young Child-bearing Women: Is New Recommendations Necessary?

Background: Cervical cancer is a common malignancy in women and HPV infection is directly linked to it and can be considerably prevented through routine screenings. Despite the belief about the persistence of HPV infection in older than 30-year-old women, high-grade lesions might be detected in youn...

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Main Authors: Fahimeh Sabet, Avishan Aminizad, Fariba Behnamfar, Tajossadat Allameh, Seyedeh Ghazal Shahrokh, Rostami Koushan, Amirmohammad Taravati, Leila Mousavi Seresht
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Advanced Biomedical Research
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Online Access:https://journals.lww.com/10.4103/abr.abr_208_23
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author Fahimeh Sabet
Avishan Aminizad
Fariba Behnamfar
Tajossadat Allameh
Seyedeh Ghazal Shahrokh
Rostami Koushan
Amirmohammad Taravati
Leila Mousavi Seresht
author_facet Fahimeh Sabet
Avishan Aminizad
Fariba Behnamfar
Tajossadat Allameh
Seyedeh Ghazal Shahrokh
Rostami Koushan
Amirmohammad Taravati
Leila Mousavi Seresht
author_sort Fahimeh Sabet
collection DOAJ
description Background: Cervical cancer is a common malignancy in women and HPV infection is directly linked to it and can be considerably prevented through routine screenings. Despite the belief about the persistence of HPV infection in older than 30-year-old women, high-grade lesions might be detected in younger ages; therefore, the purpose of the current study is to determine the worth of HPV infection screening in younger than 30-year-old women. Materials and Methods: This cross-sectional study has been executed on 100 under 30-year-old women who have undergone genotyping. Fourteen HPV subtypes including HPV 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, and 68 were defined as high risk and the patients were categorized in HPV 16/18 or other high-risk groups. Pap smear and colposcopy were performed for both groups and interpreted as normal, low-risk and high-risk lesions and compared between the groups. Results: In terms of demographic, clinical, and sexual behavioral characteristics, the present study exhibited similarity (P value > 0.05). Pap smear (P value = 0.100) and colposcopy (P value = 0.711) grading did not differ between those with HPV 16/18 versus other high-risk HPV patients. Pap smear and colposcopic findings were weekly in agreement (κ < 0.5, P value < 0.001). Conclusion: Early cytological plus genotyping assessment in women at early child-bearing ages seems logical, as the cervical premalignant lesions have a slow progressing nature and can be easily treated in early stages.
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spelling doaj-art-3e5261e8f4a54c27b67adfe9afb7b00b2025-01-08T13:15:59ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752024-12-0113111911910.4103/abr.abr_208_23Colposcopy Value in Young Child-bearing Women: Is New Recommendations Necessary?Fahimeh SabetAvishan AminizadFariba BehnamfarTajossadat AllamehSeyedeh Ghazal ShahrokhRostami KoushanAmirmohammad TaravatiLeila Mousavi SereshtBackground: Cervical cancer is a common malignancy in women and HPV infection is directly linked to it and can be considerably prevented through routine screenings. Despite the belief about the persistence of HPV infection in older than 30-year-old women, high-grade lesions might be detected in younger ages; therefore, the purpose of the current study is to determine the worth of HPV infection screening in younger than 30-year-old women. Materials and Methods: This cross-sectional study has been executed on 100 under 30-year-old women who have undergone genotyping. Fourteen HPV subtypes including HPV 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, and 68 were defined as high risk and the patients were categorized in HPV 16/18 or other high-risk groups. Pap smear and colposcopy were performed for both groups and interpreted as normal, low-risk and high-risk lesions and compared between the groups. Results: In terms of demographic, clinical, and sexual behavioral characteristics, the present study exhibited similarity (P value > 0.05). Pap smear (P value = 0.100) and colposcopy (P value = 0.711) grading did not differ between those with HPV 16/18 versus other high-risk HPV patients. Pap smear and colposcopic findings were weekly in agreement (κ < 0.5, P value < 0.001). Conclusion: Early cytological plus genotyping assessment in women at early child-bearing ages seems logical, as the cervical premalignant lesions have a slow progressing nature and can be easily treated in early stages.https://journals.lww.com/10.4103/abr.abr_208_23colposcopypapanicolaou testpapillomavirus infectionuterine cervical neoplasm
spellingShingle Fahimeh Sabet
Avishan Aminizad
Fariba Behnamfar
Tajossadat Allameh
Seyedeh Ghazal Shahrokh
Rostami Koushan
Amirmohammad Taravati
Leila Mousavi Seresht
Colposcopy Value in Young Child-bearing Women: Is New Recommendations Necessary?
Advanced Biomedical Research
colposcopy
papanicolaou test
papillomavirus infection
uterine cervical neoplasm
title Colposcopy Value in Young Child-bearing Women: Is New Recommendations Necessary?
title_full Colposcopy Value in Young Child-bearing Women: Is New Recommendations Necessary?
title_fullStr Colposcopy Value in Young Child-bearing Women: Is New Recommendations Necessary?
title_full_unstemmed Colposcopy Value in Young Child-bearing Women: Is New Recommendations Necessary?
title_short Colposcopy Value in Young Child-bearing Women: Is New Recommendations Necessary?
title_sort colposcopy value in young child bearing women is new recommendations necessary
topic colposcopy
papanicolaou test
papillomavirus infection
uterine cervical neoplasm
url https://journals.lww.com/10.4103/abr.abr_208_23
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