[The value of screening using cervicography in dysplasia and neoplasms of the uterine cervix].
In cervical dysplasia and neoplasia, recent studies have reported the unreliability of the pap smear. We have used a new screening technique, cervicography and have compared it to cervix cytology. We have performed biopsies under colposcopy as reference and quality control. On a series of 65 selected patients with pap smear screening program which were sent to the colposcopic triage, the cervicography is more sensitive (83%) than the pap smear (sensitivity: 42%). However, those two tests are from a specificity point of view, comparable (cervicography: 95% versus pap smear: 98%). The association of these two techniques has detected all the lesions: they seem to be complementary. In the Bordet Institute we decided to systematically perform both pap smear and cervicography for cervix screening.
Coibion
M
M
Service de Chirurgie Mammaire et Pelvienne, Institut Jules Bordet, Bruxelles.
Guenier
C
C
Miloiu
A
A
Andry
M
M
Bonnal
J L
JL
Nogaret
J M
JM
D005260:Female; D006801:Humans; D008403:Mass Screening; D065006:Papanicolaou Test; D010781:Photography / Q000379:methods*; D012680:Sensitivity and Specificity; D002578:Uterine Cervical Dysplasia / Q000175:diagnosis* / Q000517:prevention & control; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000517:prevention & control; D014626:Vaginal Smears
Intérêt du dépistage par cervicographie dans la pathologie dysplasique et néoplasique du col utérin.