IMR Press / EJGO / Volume 21 / Issue 5 / pii/2000218

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Original Research

Diagnostic reliability of prebioptic methods in the prediction of a histological basis of cervical lesions and its correlation with accuracy of colposcopically directed biopsy in patients with cervical neoplasia

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1 Department of Obstetrics and Gynaecology, Charles University, Pilsen, Czech Republic
Eur. J. Gynaecol. Oncol. 2000, 21(5), 484–486;
Published: 10 October 2000

Objective: High incidence of cervical cancer in the Czech Republic leads us to look for an optimal model of screening. The eva­luation of the realiability of prebiopsy (cytology and colposcopy) and of punch biopsy is an important diagnostic step. Material and methods: In a prospective study we examined 308 women detected by cytological screening who afterwards underwent surgery for a cervical lesion. Punch biopsy before the operation, most frequently by conization, was performed in every patient after assessing the prebioptic prediction (colposcopy and cytology). Results: Reliable cytological screening associated with good colposcopy permits a correct diagnosis with high reliability. The rate of errors which increase the risk (threatening of health or the life of women) was 2.9% by prebioptic methods (high reliability) and 4.4% by punch biopsy. Conclusion: These good results are achieved in centers led by trained physicians and experts in cytology and skilled in colposcopy.

Cervical cancer screening
Punch biopsy
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