High-grade histologic lesions in women with low-grade squamous intraepithelial lesion cytology from a region of Thailand with a high incidence of cervical cancer

Objective: To evaluate the prevalence of and predictors for underlying significant lesions in women with low-grade squamous intraepithelial lesion (LSIL) smears. Methods: Records were retrospectively reviewed for 208 women with LSIL who underwent colposcopy and histological evaluation from October 2...

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Main Authors: Rattapon Kiatiyosnusorn, Prapaporn Suprasert, Jatupol Srisomboon, Sitthicha Siriaree, Surapan Khunamornpong, Chumnan Kietpeerakool
Format: Journal
Published: 2018
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http://cmuir.cmu.ac.th/jspui/handle/6653943832/51120
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spelling th-cmuir.6653943832-511202018-09-04T04:51:57Z High-grade histologic lesions in women with low-grade squamous intraepithelial lesion cytology from a region of Thailand with a high incidence of cervical cancer Rattapon Kiatiyosnusorn Prapaporn Suprasert Jatupol Srisomboon Sitthicha Siriaree Surapan Khunamornpong Chumnan Kietpeerakool Medicine Objective: To evaluate the prevalence of and predictors for underlying significant lesions in women with low-grade squamous intraepithelial lesion (LSIL) smears. Methods: Records were retrospectively reviewed for 208 women with LSIL who underwent colposcopy and histological evaluation from October 2004 through April 2009. Results: Mean age of the patients was 38.5 years. Forty-four (21.2%) women were nulliparous; 20 (9.6%) women were postmenopausal; 29 (13.9%) women tested positive for HIV. Thirty-three (15.9%) women were current users of combined oral contraceptive pills. The pathological results of initial colposcopic evaluations were: 63 (30.3%) with cervical intraepithelial neoplasia (CIN) 2-3; 62 (29.8%) with CIN 1; 4 (1.9%) with cervical cancer; and 79 (38.0%) with no epithelial lesion. Current use of combined oral contraceptive pills, a positive HIV test, and multiparity were significant independent predictors for high-grade disease. Conclusion: Approximately one-third of women with LSIL in our population have underlying significant lesions. Current use of combined oral contraceptive pills, a positive HIV test, and multiparity are significant predictors for high-grade lesions. © 2010 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved. 2018-09-04T04:51:57Z 2018-09-04T04:51:57Z 2010-01-01 Journal 00207292 2-s2.0-77955414695 10.1016/j.ijgo.2010.03.022 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=77955414695&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/51120
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Medicine
spellingShingle Medicine
Rattapon Kiatiyosnusorn
Prapaporn Suprasert
Jatupol Srisomboon
Sitthicha Siriaree
Surapan Khunamornpong
Chumnan Kietpeerakool
High-grade histologic lesions in women with low-grade squamous intraepithelial lesion cytology from a region of Thailand with a high incidence of cervical cancer
description Objective: To evaluate the prevalence of and predictors for underlying significant lesions in women with low-grade squamous intraepithelial lesion (LSIL) smears. Methods: Records were retrospectively reviewed for 208 women with LSIL who underwent colposcopy and histological evaluation from October 2004 through April 2009. Results: Mean age of the patients was 38.5 years. Forty-four (21.2%) women were nulliparous; 20 (9.6%) women were postmenopausal; 29 (13.9%) women tested positive for HIV. Thirty-three (15.9%) women were current users of combined oral contraceptive pills. The pathological results of initial colposcopic evaluations were: 63 (30.3%) with cervical intraepithelial neoplasia (CIN) 2-3; 62 (29.8%) with CIN 1; 4 (1.9%) with cervical cancer; and 79 (38.0%) with no epithelial lesion. Current use of combined oral contraceptive pills, a positive HIV test, and multiparity were significant independent predictors for high-grade disease. Conclusion: Approximately one-third of women with LSIL in our population have underlying significant lesions. Current use of combined oral contraceptive pills, a positive HIV test, and multiparity are significant predictors for high-grade lesions. © 2010 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
format Journal
author Rattapon Kiatiyosnusorn
Prapaporn Suprasert
Jatupol Srisomboon
Sitthicha Siriaree
Surapan Khunamornpong
Chumnan Kietpeerakool
author_facet Rattapon Kiatiyosnusorn
Prapaporn Suprasert
Jatupol Srisomboon
Sitthicha Siriaree
Surapan Khunamornpong
Chumnan Kietpeerakool
author_sort Rattapon Kiatiyosnusorn
title High-grade histologic lesions in women with low-grade squamous intraepithelial lesion cytology from a region of Thailand with a high incidence of cervical cancer
title_short High-grade histologic lesions in women with low-grade squamous intraepithelial lesion cytology from a region of Thailand with a high incidence of cervical cancer
title_full High-grade histologic lesions in women with low-grade squamous intraepithelial lesion cytology from a region of Thailand with a high incidence of cervical cancer
title_fullStr High-grade histologic lesions in women with low-grade squamous intraepithelial lesion cytology from a region of Thailand with a high incidence of cervical cancer
title_full_unstemmed High-grade histologic lesions in women with low-grade squamous intraepithelial lesion cytology from a region of Thailand with a high incidence of cervical cancer
title_sort high-grade histologic lesions in women with low-grade squamous intraepithelial lesion cytology from a region of thailand with a high incidence of cervical cancer
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=77955414695&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/51120
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