Abnormal cervical smears in the unchanged uterine cervix: difficulties in the screening, diagnosis, and treatment of cervical intraepithelial neoplasias and microinvasive cancer
The author analyzes an algorithm for identifying and treating w omen with cervical intraepithelial neoplasias (CIN) and microinv asive cancer of the cervix uteri in cases of the hidden area of transformation and in the absence of visible cervical changes. There are excep- tional difficulties of maki...
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| Format: | Article |
| Language: | Russian |
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ABV-press
2014-08-01
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| Series: | Опухоли женской репродуктивной системы |
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| Online Access: | https://ojrs.abvpress.ru/ojrs/article/view/181 |
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| author | L. I. Korolenkova |
| author_facet | L. I. Korolenkova |
| author_sort | L. I. Korolenkova |
| collection | DOAJ |
| description | The author analyzes an algorithm for identifying and treating w omen with cervical intraepithelial neoplasias (CIN) and microinv asive cancer of the cervix uteri in cases of the hidden area of transformation and in the absence of visible cervical changes. There are excep- tional difficulties of making the diagnosis of epithelial damages due to the incomplete reproducibility of cytological abnormal ities and the low informative value of a histological study of scrapes from the cervical canal. To avoid hypodiagnosis, it is justifiable to prefer human papillomavirus testing (Hybrid Capture 2 (HC2)) to repeat smears for the choice of a management tactic. Conization is recommend ed as a diagnostic and/or therapeutic procedure when the viral load is high in over 35-year-old patients with abnormal smears anda hidden transformation area. |
| format | Article |
| id | doaj-art-43c1be0a5eb84c018f7d1ca6fa98f758 |
| institution | Kabale University |
| issn | 1994-4098 1999-8627 |
| language | Russian |
| publishDate | 2014-08-01 |
| publisher | ABV-press |
| record_format | Article |
| series | Опухоли женской репродуктивной системы |
| spelling | doaj-art-43c1be0a5eb84c018f7d1ca6fa98f7582025-08-20T04:00:01ZrusABV-pressОпухоли женской репродуктивной системы1994-40981999-86272014-08-0103747810.17650/1994-4098-2011-0-3-74-78197Abnormal cervical smears in the unchanged uterine cervix: difficulties in the screening, diagnosis, and treatment of cervical intraepithelial neoplasias and microinvasive cancerL. I. Korolenkova0N.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences, MoscowThe author analyzes an algorithm for identifying and treating w omen with cervical intraepithelial neoplasias (CIN) and microinv asive cancer of the cervix uteri in cases of the hidden area of transformation and in the absence of visible cervical changes. There are excep- tional difficulties of making the diagnosis of epithelial damages due to the incomplete reproducibility of cytological abnormal ities and the low informative value of a histological study of scrapes from the cervical canal. To avoid hypodiagnosis, it is justifiable to prefer human papillomavirus testing (Hybrid Capture 2 (HC2)) to repeat smears for the choice of a management tactic. Conization is recommend ed as a diagnostic and/or therapeutic procedure when the viral load is high in over 35-year-old patients with abnormal smears anda hidden transformation area.https://ojrs.abvpress.ru/ojrs/article/view/181cervical intraepithelial neoplasiamicroinvasive cancersmear cytological abnormalitiesscreeninghybrid capture 2hypodiagnosis |
| spellingShingle | L. I. Korolenkova Abnormal cervical smears in the unchanged uterine cervix: difficulties in the screening, diagnosis, and treatment of cervical intraepithelial neoplasias and microinvasive cancer Опухоли женской репродуктивной системы cervical intraepithelial neoplasia microinvasive cancer smear cytological abnormalities screening hybrid capture 2 hypodiagnosis |
| title | Abnormal cervical smears in the unchanged uterine cervix: difficulties in the screening, diagnosis, and treatment of cervical intraepithelial neoplasias and microinvasive cancer |
| title_full | Abnormal cervical smears in the unchanged uterine cervix: difficulties in the screening, diagnosis, and treatment of cervical intraepithelial neoplasias and microinvasive cancer |
| title_fullStr | Abnormal cervical smears in the unchanged uterine cervix: difficulties in the screening, diagnosis, and treatment of cervical intraepithelial neoplasias and microinvasive cancer |
| title_full_unstemmed | Abnormal cervical smears in the unchanged uterine cervix: difficulties in the screening, diagnosis, and treatment of cervical intraepithelial neoplasias and microinvasive cancer |
| title_short | Abnormal cervical smears in the unchanged uterine cervix: difficulties in the screening, diagnosis, and treatment of cervical intraepithelial neoplasias and microinvasive cancer |
| title_sort | abnormal cervical smears in the unchanged uterine cervix difficulties in the screening diagnosis and treatment of cervical intraepithelial neoplasias and microinvasive cancer |
| topic | cervical intraepithelial neoplasia microinvasive cancer smear cytological abnormalities screening hybrid capture 2 hypodiagnosis |
| url | https://ojrs.abvpress.ru/ojrs/article/view/181 |
| work_keys_str_mv | AT likorolenkova abnormalcervicalsmearsintheunchangeduterinecervixdifficultiesinthescreeningdiagnosisandtreatmentofcervicalintraepithelialneoplasiasandmicroinvasivecancer |