title: [Pathologic Papanicolaou class IV smear without histologic correlation--what should be done?].
abstract: 13 of 188 patients with a Papanicolaou smear Type IV of the cervix showed histologically only abnormal epithelium, CIN I or II, a result which does not explain the cytologic result. For several reasons a hysterectomy was performed in 5 cases. In only one of these patients a pathological finding, an endometrial carcinoma stage 0, was detected. In the other 8 cases a routine procedure under regular colposcopic and cytologic control had been performed. According to the results during a median follow-up over 52 months, such routine procedure is justified, if the patient wants children and if respectively a regular colposcopic/cytologic control or a control curettage after 3-6 months is undertaken.
authors.affiliation: Gynäkologischen Universitätsklinik und Poliklinik Zürich.
authors.forename: K
authors.initials: K
authors.lastname: Biedermann
authors.forename: F
authors.initials: F
authors.lastname: Bannwart
authors.forename: D
authors.initials: D
authors.lastname: Staikov
authors.forename: W E
authors.initials: WE
authors.lastname: Schreiner
mesh_terms: D000328:Adult; D002584:Cervix Uteri / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D009367:Neoplasm Staging; D065006:Papanicolaou Test; D002578:Uterine Cervical Dysplasia / Q000473:pathology*; D002583:Uterine Cervical Neoplasms / Q000473:pathology*; D014626:Vaginal Smears
vernacular_title: Pathologischer Papanicolaou-Abstrich Klasse IV ohne histologisches Korrelat--was tun?