Cervical screening with cervicography and the Papanicolaou smear in women with genital condylomata.
Cervicography has been shown to be a very sensitive screening tool in the general population. Its value in screening a high-risk population was explored. One hundred five women seen with vulvar condylomata or a history thereof were offered a cervigram and Papanicolaou smear. Twelve patients had abnormal smears, whereas 53 had abnormal cervigrams. Colposcopically directed biopsies in the abnormal Papanicolaou group revealed cervical intraepithelial neoplasia (CIN) I in six patients and III in two. Cervicography-positive patients exhibited CIN I in 9 cases, II in 1 and III in 2. There was some overlap. Twelve patients had cervical condylomata without dysplasia. Cervicography, in addition to cervical cytology, should be considered for all women with vulvar condylomata.
Schauberger
C W
CW
Colposcopy and Cervical Pathology Clinic, Gundersen Clinic, La Crosse, WI 54601.
Rowe
N
N
Gundersen
J H
JH
Jensen
D P
DP
Chadbourn
M
M
D000293:Adolescent; D000328:Adult; D002278:Carcinoma in Situ / Q000150:complications / Q000175:diagnosis; D003218:Condylomata Acuminata / Q000175:diagnosis*; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008875:Middle Aged; D065006:Papanicolaou Test; D010781:Photography; D012189:Retrospective Studies; D002583:Uterine Cervical Neoplasms / Q000150:complications / Q000175:diagnosis*; D014626:Vaginal Smears; D014846:Vulvar Neoplasms / Q000150:complications*