keyword
MENU ▼
Read by QxMD icon Read
search

Colposcopy

keyword
https://www.readbyqxmd.com/read/28322534/indicators-for-monitoring-screening-programs-with-primary-hpv-test
#1
Manuel Zorzi, Paolo Giorgi Rossi
BACKGROUND: following scientific evidence produced in numerous studies, as well as national and international guidelines, organized cervical cancer screening programs in Italy have gradually introduced the HPV test as primary screening test, replacing cytology. As public health interventions, screening programs must ensure equity, improvement in quality of life, and adequate information for the population involved with regards to benefits and possible risks; therefore, it is essential for quality to be constantly checked at every phase of the project...
January 2017: Epidemiologia e Prevenzione
https://www.readbyqxmd.com/read/28323758/cervical-cancer-screening-intervals-and-management-for-women-living-with-hiv-a-risk-benchmarking-approach
#2
Hilary A Robbins, Howard D Strickler, L Stewart Massad, Christopher B Pierce, Teresa M Darragh, Howard Minkoff, Marla J Keller, Margaret Fischl, Joel Palefsky, Lisa Flowers, Lisa Rahangdale, Joel Milam, Sadeep Shrestha, Christine Colie, Gypsyamber Dʼsouza
OBJECTIVE: We suggested cervical cancer screening strategies for women living with HIV (WLHIV) by comparing their precancer risks to general population women, and then compared our suggestions to current CDC guidelines. DESIGN: We compared risks of biopsy-confirmed cervical high-grade squamous intraepithelial neoplasia or worse (bHSIL+), calculated among WLHIV in the Women's Interagency HIV Study, to "risk benchmarks" for specific management strategies in the general population...
March 18, 2017: AIDS
https://www.readbyqxmd.com/read/28302110/beneficial-effects-of-a-coriolus-versicolor-based-vaginal-gel-on-cervical-epithelization-vaginal-microbiota-and-vaginal-health-a-pilot-study-in-asymptomatic-women
#3
Santiago Palacios, Fernando Losa, Damián Dexeus, Javier Cortés
BACKGROUND: To assess the effect of a 12-day treatment using a vaginal gel based on niosomes containing hyaluronic acid, ß-glucan, alpha-glucan oligosaccharide, Coriolus versicolor, Asian centella, Azadirachta indica and Aloe vera on vaginal microbiota, cervical epithelization and vaginal health. METHODS: Open-label, prospective pilot study conducted in asymptomatic women in daily practice. Cervical epithelization was evaluated by colposcopy using an ectopy epithelization score (from 5: no ectopy to 1: severe ectopy and bleeding), vaginal microbiota using the VaginaStatus-Diagnostic test (Instiüt für Mikroökologie, Herborn, Germany) and further rated by the investigator using a 5-point Liker scale (from 5: normal to 1: very severe deterioration in which all evaluated species were altered), and vaginal health using the Vaginal Health Index...
March 16, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/28292693/influence-of-high-risk-hpv-genotype-on-colposcopic-performance-a-large-prospective-study-demonstrates-improved-detection-of-disease-with-zedscan-i-particularly-in-non-hpv-16-patients
#4
Madeleine C Macdonald, Brian H Brown, Rachel E Lyon, T Jamie Healey, Julia E Palmer, John A Tidy
OBJECTIVE: To assess the influence of high-risk Human Papilloma Virus (hrHPV) genotyping on the detection of high-grade disease (CIN2+) using colposcopic impression both with and without electrical impedance spectroscopy (ZedScan I) as an adjunct. STUDY DESIGN: A prospective cohort of women with a known hrHPV genotype referred to a single colposcopy service. RESULTS: 839 women underwent colposcopy and ZedScan I examination. 613 women were referred with abnormal cytology; 411 (67%) with low-grade dyskaryosis (67%) and 202 (33%) with high-grade dyskaryosis...
February 20, 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/28279263/the-time-is-now-to-implement-hpv-testing-for-primary-screening-in-low-resource-settings
#5
Louise Kuhn, Lynette Denny
Unacceptable disparities in cervical cancer between richer and poorer countries persist and serve as reminders of gross disparities in access to and quality of screening services. HPV testing is well-suited to address some of the barriers to implementing adequate screening programs in low resource settings. HPV testing has considerably better sensitivity than cytology providing the same extent of safety with fewer rounds of screening. New robust HPV testing platforms require little to no skill by laboratory workers and some can be used at the point-of-care...
May 2017: Preventive Medicine
https://www.readbyqxmd.com/read/28279257/approaches-for-triaging-women-who-test-positive-for-human-papillomavirus-in-cervical-cancer-screening
#6
Joseph E Tota, James Bentley, Jennifer Blake, François Coutlée, Máire A Duggan, Alex Ferenczy, Eduardo L Franco, Michael Fung-Kee-Fung, Walter Gotlieb, Marie-Hélène Mayrand, Meg McLachlin, Joan Murphy, Gina Ogilvie, Sam Ratnam
Substantial evidence exists to support the introduction of molecular testing for human papillomavirus (HPV) as the primary technology in cervical cancer screening. While HPV testing is much more sensitive than cytology for detection of high-grade precancerous lesions, it is less specific. To improve efficiency, it is therefore recommended that a specific test (like cytology) be used in triaging HPV positive women to colposcopy. A number of studies have been conducted that support the use of cytology alone or in conjunction with HPV genotyping for triage...
May 2017: Preventive Medicine
https://www.readbyqxmd.com/read/28274030/intra-and-inter-observer-variability-of-transformation-zone-assessment-in-colposcopy-a-qualitative-and-quantitative-study
#7
Elizabeth Vallikad, Premalatha Thekkada Siddartha, Kiran Abhijit Kulkarni, Celine Firtion, Payal Keswarpu, Pallavi Vajinepalli, Sarif Naik, Lovi Gupta
INTRODUCTION: Colposcopy is an important tool in the diagnosis of cervical precancer and early cancer. The assessment of women with abnormal cytology and selection of those who require further therapy or follow up depends on the colposcopic assessment of the Transformation Zone (TZ). Identification of the TZ is thus an important part of this examination. Intra and inter-observer variability is known to be relatively high in the colposcopic interpretation of abnormal features. However, there are hardly any studies on the observer variability in the assessment of the type of TZ...
January 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28271661/human-papillomavirus-hpv-e6-e7-mrna-detection-in-cervical-exfoliated-cells-a-potential-triage-for-hpv-positive-women
#8
Ye-Li Yao, Qi-Fang Tian, Bei Cheng, Yi-Fan Cheng, Jing Ye, Wei-Guo Lu
Cytology triage has been generally recommended for human papillomavirus (HPV)-positive women, but is highly dependent on well-trained cytologists. The present study was designed to explore whether HPV E6/E7 mRNA detection in cervical exfoliated cells can be a potential triage for HPV-positive women from a clinic-based population. Both the primary HPV testing and Papanicolaou (Pap) test were performed on all eligible HPV-positive women. HPV E6/E7 mRNA was detected by QuantiVirus(®) HPV E6/E7 mRNA assay in cervical exfoliated cells...
2017: Journal of Zhejiang University. Science. B
https://www.readbyqxmd.com/read/28271660/prognostic-value-of-human-papillomavirus-16-18-genotyping-in-low-grade-cervical-lesions-preceded-by-mildly-abnormal-cytology
#9
Jing Ye, Bei Cheng, Yi-Fan Cheng, Ye-Li Yao, Xing Xie, Wei-Guo Lu, Xiao-Dong Cheng
Histological low-grade squamous intraepithelial lesion/cervical intraepithelial neoplasia grade 1 (LSIL/CIN1) preceded by normal or mildly abnormal cytology is recommended for conservative follow-up, with no separated management. In this study, we assessed the triage value of human papillomavirus (HPV) 16/18 genotyping in 273 patients with LSIL/CIN1. HPV16/18 genotyping was performed at baseline and follow-up was at 6-monthly intervals for up to 2 years. At each follow-up, women positive for cytology or high-risk HPV (hrHPV) were referred for colposcopy...
2017: Journal of Zhejiang University. Science. B
https://www.readbyqxmd.com/read/28265177/-epidemiology-prevention-and-early-detection-of-cervical-cancer
#10
Nicolas Wentzensen
BACKGROUND: Persistent infections with human papillomaviruses are a necessary cause of cervical carcinomas. The development of HPV-based prevention tools, HPV vaccination and HPV testing, is leading to major changes in cervical cancer prevention programs worldwide. A decade after introduction of HPV vaccination in many countries reductions of HPV infections and cancer precursors have been observed in young women. The focus is now on the integration of new approaches for screening of increasingly vaccinated populations...
October 2016: Der Onkologe: Organ der Deutschen Krebsgesellschaft E.V
https://www.readbyqxmd.com/read/28264203/underdiagnosis-of-cervical-intraepithelial-neoplasia-cin-2-or-worse-lesion-in-women-with-a-previous-colposcopy-guided-biopsy-showing-cin-1
#11
Carlos André Scheler de Souza, Michelle Garcia Discacciati, Maria Gabriela d'Otavianno, Silvia Maria Bergo, Markus Traue, Liliana Aparecida Lucci de Angelo Andrade, Luiz Carlos Zeferino
Objective Expectant follow-up for biopsy-proven cervical intraepithelial neoplasia (CIN) 1 is the current recommendation for the management of this lesion. Nevertheless, the performance of the biopsy guided by colposcopy might not be optimal. Therefore, this study aimed to calculate the rate of underdiagnoses of more severe lesions in women with CIN 1 diagnosis and to evaluate whether age, lesion extent and biopsy site are factors associated with diagnostic failure. Methods Eighty women with a diagnosis of CIN 1 obtained by colposcopy-guided biopsy were selected for this study...
March 6, 2017: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/28257290/human-papillomavirus-co-testing-results-effectively-triage-normal-cervical-cytology-in-hiv-positive-women-aged-30-years-and-older
#12
Rachel O Alade, Olivera Vragovic, Conor Duffy, Howard J Cabral, Elizabeth A Stier
OBJECTIVE: The aim of the study was to assess whether HIV-positive (HIV+) women aged 30 years and older with concurrent normal cervical cytology and undetectable cervical HPV have a low 3-year risk of developing cervical intraepithelial neoplasia grade 2 or higher (CIN 2+) in a clinical setting. MATERIALS AND METHODS: We conducted a retrospective chart review of HIV+ women aged 30 years and older at a single institution with normal cervical cytology and concurrent human papillomavirus (HPV) testing between November 2008 and December 2010...
March 2, 2017: Journal of Lower Genital Tract Disease
https://www.readbyqxmd.com/read/28254419/human-papillomavirus-infection-and-cervical-lesions-in-hiv-infected-women-on-antiretroviral-treatment-in-thailand
#13
Tristan Delory, Nicole Ngo-Giang-Huong, Samreung Rangdaeng, Nantasak Chotivanich, Aram Limtrakul, Chaiwat Putiyanun, Pornnapa Suriyachai, Wanmanee Matanasarawut, Tapnarong Jarupanich, Prateung Liampongsabuddhi, Isabelle Heard, Gonzague Jourdain, Marc Lallemant, Sophie Le Coeur
OBJECTIVES: To estimate the prevalence and factors associated with Human Papillomavirus (HPV) infection, HPV genotypes and cytological/histological high-grade (HSIL+/CIN2+) lesions. METHODS: We conducted a cross-sectional study within a prospective cohort of HIV-infected women on combination antiretroviral therapy (cART). Cervical specimens were collected for cytology and HPV genotyping (Papillocheck(®)). Any women with High-Risk-HPV (HR-HPV), and/or potentially HR-HPV (pHR-HPV) and/or ASC-US or higher (ASC-US+) lesions were referred for colposcopy...
February 28, 2017: Journal of Infection
https://www.readbyqxmd.com/read/28244884/triaging-atypical-squamous-cells-cannot-exclude-high-grade-squamous-intraepithelial-lesion-with-p16-ki67-dual-stain
#14
Daja Šekoranja, Alenka Repše Fokter
OBJECTIVES: The management of women with Pap cytology results categorized as "atypical squamous cells, cannot exclude high-grade squamous intraepithelial lesion" (ASC-H) can often be challenging. We assessed the performance of p16/Ki67 dual-stained cytology as a potential triage tool for the detection of biopsy-confirmed high-grade squamous intraepithelial lesions (HSILs) in women with ASC-H. MATERIALS AND METHODS: Women with ASC-H were followed for a period of 36 months by repeat cytology and colposcopy...
February 27, 2017: Journal of Lower Genital Tract Disease
https://www.readbyqxmd.com/read/28231598/evaluation-of-the-p16-and-ki-67-biomarkers-as-predictors-of-the-recurrence-of-premalignant-cervical-cancer-lesions-after-leep-conization
#15
Paulo Macêdo de Oliveira Leite, Luciene Tafuri, Maria Zélia de Oliveira Costa, Maria Inês de Miranda Lima, Renata Toscano Simões
Objective To evaluate the expressions of biomarkers p16 and Ki-67 in low-grade (LG) or high-grade (HG) lesions, and to relate them to risk factors and the recurrence of these lesions. Methods A retrospective case-control study of 86 patients with LG and HG lesions who underwent a loop electrosurgical excision procedure (LEEP) between 1999 and 2004. The control group was composed of 69 women with no recurrence, and the study group, of 17 patients with recurrence. All patients were followed-up over a two-year period after surgery, and screened every six months, including cytology and colposcopy...
February 23, 2017: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/28223432/performance-and-diagnostic-accuracy-of-a-urine-based-human-papillomavirus-assay-in-a-referral-population
#16
Jack M Cuzick, Louise Cadman, Amar Sabri Ahmad, Linda Ho, George Terry, Michelle Kleeman, Deirdre Lyons, Janet Austin, Mark H Stoler, Cecile Rose T Vibat, Janel Dockter, David Robbins, Paul R Billings, Mark G Erlander
Background HPV testing from clinician-collected cervical and self-collected cervico-vaginal samples is more sensitive for detecting CIN2+/CIN3+ than cytology-based screening, stimulating interest in HPV testing from urine. The objective was to determine the performance of the Trovagene HPV test for the detection of CIN2+ from urine and PreservCyt cervical samples. Methods Women referred for colposcopy at St Mary's Hospital London, following abnormal cytology, were recruited to this diagnostic accuracy study by convenience sampling (September 2011 and April 2013)...
February 21, 2017: Cancer Epidemiology, Biomarkers & Prevention
https://www.readbyqxmd.com/read/28213603/women-s-experiences-with-cervical-cancer-screening-in-a-colposcopy-referral-clinic-in-cape-town-south-africa-a-qualitative-analysis
#17
Mariette Momberg, Matthys H Botha, Frederick H Van der Merwe, Jennifer Moodley
OBJECTIVE: The aim of this study was to explore and understand women's experience with cervical cancer screening and with the referral pathways for abnormal Papanicolau (Pap) smears. DESIGN AND SETTING: Focus group discussions were conducted with first time colposcopy clinic attendees at a tertiary hospital colposcopy clinic in Cape Town, South Africa during November 2014. A thematic analysis was conducted to identify key themes. Initial coding categories were drawn from the interview guide...
February 17, 2017: BMJ Open
https://www.readbyqxmd.com/read/28190541/predictors-of-adherence-to-follow-up-recommendations-after-an-abnormal-pap-smear-among-underserved-inner-city-women
#18
Suzanne M Miller, Erin K Tagai, Kuang-Yi Wen, Minsun Lee, Siu-Kuen Azor Hui, Deirdre Kurtz, John Scarpato, Enrique Hernandez
OBJECTIVES: This study aimed to identify cognitive-affective predictors of adherence to initial diagnostic colposcopy and 6-month follow-up recommendations among underserved women. METHODS: A secondary data analysis was completed of a randomized clinical trial assessing tailored telephone counseling for colposcopy adherence after an abnormal screening Pap smear among 210 underserved inner-city women. RESULTS: Adherence to initial diagnostic colposcopy was significantly associated with greater self-efficacy (OR=1...
January 31, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28182083/endometriosis-mimicking-glandular-atypia-in-a-cervical-cytology
#19
Paula A Rodriguez-Urrego, Isabel C Dulcey-Hormiga, Luis E Barrera-Herrera, David A Suarez-Zamora, Mauricio A Palau-Lazaro, Catalina Buritica-Cifuentes
Endometriosis involving the uterine cervix is a rare condition that can lead to diagnostic errors in the interpretation of Pap smear. We report the case of a 41-year-old patient in whom the initial Pap smear revealed three-dimensional clusters of glandular cells with elongated nuclei, occasional mitosis, and atypia, which was interpreted as atypical glandular cells, not otherwise specified (NOS). The patient was taken to colposcopy and endocervical biopsy. Colposcopy was normal and the biopsy presented glands with elongated nuclei and surrounded by endometrial stroma admixed with normal endocervical glands...
January 2017: Journal of Cytology
https://www.readbyqxmd.com/read/28157825/pain-sensation-during-colposcopy-and-cervical-biopsy-with-or-without-local-anesthesia-a-randomized-trial
#20
Mari Kiviharju, Ilkka Kalliala, Pekka Nieminen, Tadeusz Dyba, Annika Riska, Maija Jakobsson
OBJECTIVE: The aim of the study was to determine whether an injection of a local anesthetic is more painful than a cervical punch biopsy without local anesthesia. MATERIALS AND METHODS: The study was a randomized controlled trial, conducted at the Helsinki University Central Hospital. It consisted of 204 women referred for colposcopic assessments. Half of them were randomized to receive local anesthesia before their cervical punch biopsies. After the injection of the local anesthetic, the cervical punch biopsy, and the endocervical curettage, the women scored their actual pain using a 10-cm visual analog scale (VAS)...
February 3, 2017: Journal of Lower Genital Tract Disease
keyword
keyword
13260
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"