Cervical intraepithelial neoplasia in adolescents
Three hundred and eleven adolescent patients with abnormal Pap smears were referred for evaluation. Two hundred and ninety-three were evaluated with colposcopy and directed biopsies. Fourteen percent had normal findings, 42% CIN I, 22% CIN II, and 22% CIN III. The distribution of pathologic findings...
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Veröffentlicht in: | Journal of adolescent health care 1984-10, Vol.5 (4), p.243-247 |
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creator | Darnell Jones, D.E. Russo, Joseph F. Dombroski, Raymond A. Lentz, Samuel S. |
description | Three hundred and eleven adolescent patients with abnormal Pap smears were referred for evaluation. Two hundred and ninety-three were evaluated with colposcopy and directed biopsies. Fourteen percent had normal findings, 42% CIN I, 22% CIN II, and 22% CIN III. The distribution of pathologic findings was similar to that in an adult population in the same clinic except that no invasive carcinomas were found in our adolescents. Since there was a predominance of exocervical lesions, only 3% of the patients required diagnostic conization. Ninety-four percent of the adolescents were treated by cryotherapy as compared to 68% of the adults. Since adolescents have significant cervical intraepithelial neoplasia, an abnormal Pap smear should be evaluated and a tissue diagnosis obtained. Outpatient therapy is well suited for the majority of teenagers because the lesions are commonly confined to the exocervix. |
doi_str_mv | 10.1016/S0197-0070(84)80125-4 |
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Two hundred and ninety-three were evaluated with colposcopy and directed biopsies. Fourteen percent had normal findings, 42% CIN I, 22% CIN II, and 22% CIN III. The distribution of pathologic findings was similar to that in an adult population in the same clinic except that no invasive carcinomas were found in our adolescents. Since there was a predominance of exocervical lesions, only 3% of the patients required diagnostic conization. Ninety-four percent of the adolescents were treated by cryotherapy as compared to 68% of the adults. Since adolescents have significant cervical intraepithelial neoplasia, an abnormal Pap smear should be evaluated and a tissue diagnosis obtained. Outpatient therapy is well suited for the majority of teenagers because the lesions are commonly confined to the exocervix.</description><identifier>ISSN: 0197-0070</identifier><identifier>DOI: 10.1016/S0197-0070(84)80125-4</identifier><identifier>PMID: 6490479</identifier><language>eng</language><publisher>United States: Elsevier Science (USA)</publisher><subject>Abnormal Pap smears ; Adolescent ; Adolescent gynecology ; Cervical neoplasia ; Colposcopy ; Cryosurgery ; Female ; Follow-Up Studies ; Humans ; Hysterectomy ; Papanicolaou Test ; Pregnancy ; Uterine Cervical Dysplasia - diagnosis ; Uterine Cervical Dysplasia - surgery ; Uterine Cervical Neoplasms - diagnosis ; Uterine Cervical Neoplasms - surgery ; Vaginal Smears</subject><ispartof>Journal of adolescent health care, 1984-10, Vol.5 (4), p.243-247</ispartof><rights>1984 the Society for Adolescent Medicine</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c360t-c580a0045644c186561e773798755527d24191127a3ab8cd3cd79c4d56c63d7b3</citedby><cites>FETCH-LOGICAL-c360t-c580a0045644c186561e773798755527d24191127a3ab8cd3cd79c4d56c63d7b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6490479$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Darnell Jones, D.E.</creatorcontrib><creatorcontrib>Russo, Joseph F.</creatorcontrib><creatorcontrib>Dombroski, Raymond A.</creatorcontrib><creatorcontrib>Lentz, Samuel S.</creatorcontrib><title>Cervical intraepithelial neoplasia in adolescents</title><title>Journal of adolescent health care</title><addtitle>J Adolesc Health Care</addtitle><description>Three hundred and eleven adolescent patients with abnormal Pap smears were referred for evaluation. Two hundred and ninety-three were evaluated with colposcopy and directed biopsies. Fourteen percent had normal findings, 42% CIN I, 22% CIN II, and 22% CIN III. The distribution of pathologic findings was similar to that in an adult population in the same clinic except that no invasive carcinomas were found in our adolescents. Since there was a predominance of exocervical lesions, only 3% of the patients required diagnostic conization. Ninety-four percent of the adolescents were treated by cryotherapy as compared to 68% of the adults. Since adolescents have significant cervical intraepithelial neoplasia, an abnormal Pap smear should be evaluated and a tissue diagnosis obtained. Outpatient therapy is well suited for the majority of teenagers because the lesions are commonly confined to the exocervix.</description><subject>Abnormal Pap smears</subject><subject>Adolescent</subject><subject>Adolescent gynecology</subject><subject>Cervical neoplasia</subject><subject>Colposcopy</subject><subject>Cryosurgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Hysterectomy</subject><subject>Papanicolaou Test</subject><subject>Pregnancy</subject><subject>Uterine Cervical Dysplasia - diagnosis</subject><subject>Uterine Cervical Dysplasia - surgery</subject><subject>Uterine Cervical Neoplasms - diagnosis</subject><subject>Uterine Cervical Neoplasms - surgery</subject><subject>Vaginal Smears</subject><issn>0197-0070</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1PwzAMhnMAjTH4CZN2QnAoOM1nTwhNfEmTOADnKEs8EdS1JWkn8e_JPrQrJ8t-bb_2Q8iUwi0FKu_egVaqAFBwrfmNBlqKgp-Q8bF8Rs5T-gZgjGk6IiPJK-CqGhM6x7gJztaz0PTRYhf6L6xDzhtsu9qmYLMys76tMTls-nRBTle2Tnh5iBPy-fT4MX8pFm_Pr_OHReGYhL5wQoMF4EJy7qiWQlJUiqlKKyFEqXzJaUVpqSyzS-08c15VjnshnWReLdmEXO33drH9GTD1Zh3yBXVt82VDMpoyKJXUuVHsG11sU4q4Ml0Maxt_DQWzxWN2eMyWg9Hc7PAYnuemB4NhuUZ_nDqwyfr9Xsf85SZgNMkFbBz6ENH1xrfhH4c_3SB00w</recordid><startdate>198410</startdate><enddate>198410</enddate><creator>Darnell Jones, D.E.</creator><creator>Russo, Joseph F.</creator><creator>Dombroski, Raymond A.</creator><creator>Lentz, Samuel S.</creator><general>Elsevier Science (USA)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198410</creationdate><title>Cervical intraepithelial neoplasia in adolescents</title><author>Darnell Jones, D.E. ; Russo, Joseph F. ; Dombroski, Raymond A. ; Lentz, Samuel S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-c580a0045644c186561e773798755527d24191127a3ab8cd3cd79c4d56c63d7b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Abnormal Pap smears</topic><topic>Adolescent</topic><topic>Adolescent gynecology</topic><topic>Cervical neoplasia</topic><topic>Colposcopy</topic><topic>Cryosurgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Hysterectomy</topic><topic>Papanicolaou Test</topic><topic>Pregnancy</topic><topic>Uterine Cervical Dysplasia - diagnosis</topic><topic>Uterine Cervical Dysplasia - surgery</topic><topic>Uterine Cervical Neoplasms - diagnosis</topic><topic>Uterine Cervical Neoplasms - surgery</topic><topic>Vaginal Smears</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Darnell Jones, D.E.</creatorcontrib><creatorcontrib>Russo, Joseph F.</creatorcontrib><creatorcontrib>Dombroski, Raymond A.</creatorcontrib><creatorcontrib>Lentz, Samuel S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of adolescent health care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Darnell Jones, D.E.</au><au>Russo, Joseph F.</au><au>Dombroski, Raymond A.</au><au>Lentz, Samuel S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cervical intraepithelial neoplasia in adolescents</atitle><jtitle>Journal of adolescent health care</jtitle><addtitle>J Adolesc Health Care</addtitle><date>1984-10</date><risdate>1984</risdate><volume>5</volume><issue>4</issue><spage>243</spage><epage>247</epage><pages>243-247</pages><issn>0197-0070</issn><abstract>Three hundred and eleven adolescent patients with abnormal Pap smears were referred for evaluation. Two hundred and ninety-three were evaluated with colposcopy and directed biopsies. Fourteen percent had normal findings, 42% CIN I, 22% CIN II, and 22% CIN III. The distribution of pathologic findings was similar to that in an adult population in the same clinic except that no invasive carcinomas were found in our adolescents. Since there was a predominance of exocervical lesions, only 3% of the patients required diagnostic conization. Ninety-four percent of the adolescents were treated by cryotherapy as compared to 68% of the adults. Since adolescents have significant cervical intraepithelial neoplasia, an abnormal Pap smear should be evaluated and a tissue diagnosis obtained. Outpatient therapy is well suited for the majority of teenagers because the lesions are commonly confined to the exocervix.</abstract><cop>United States</cop><pub>Elsevier Science (USA)</pub><pmid>6490479</pmid><doi>10.1016/S0197-0070(84)80125-4</doi><tpages>5</tpages></addata></record> |
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subjects | Abnormal Pap smears Adolescent Adolescent gynecology Cervical neoplasia Colposcopy Cryosurgery Female Follow-Up Studies Humans Hysterectomy Papanicolaou Test Pregnancy Uterine Cervical Dysplasia - diagnosis Uterine Cervical Dysplasia - surgery Uterine Cervical Neoplasms - diagnosis Uterine Cervical Neoplasms - surgery Vaginal Smears |
title | Cervical intraepithelial neoplasia in adolescents |
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