[Morphologic changes in cervix smears by intrauterine pessary].
656 cervical smears and 74 endocervical biopsies were studied for morphological alterations associated with the presence of an intrauterine device. 12,085 cervical smears served as a control for inflammatory and metaplastic cellular changes. Slight to moderate cellular alterations were found in 202 (31%) out of 656 cases. Metaplastic and inflammatory lesions were identified in 26 (35%) out of 74 endocervical biopsies. We found no increased incidence of dysplastic lesions in women wearing an intrauterine device. Inflammatory and metaplastic cellular alterations have been seen more frequently in women with IUD than in the controls. The duration of time the IUD were in situ, did not have an effect on the cellular alterations. "Actinomyces-like" organisms were described in 38 (6%) out of 656 cases. The cytopathologist may be able to identify an "IUD-related" specimen in about one third of PAP-smears from women with an IUD, when he is aware that cervical smears from women having IUD may present with cellular alterations.
D002584:Cervix Uteri / Q000473:pathology*; D004848:Epithelium / Q000473:pathology; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D008679:Metaplasia; D065006:Papanicolaou Test; D002578:Uterine Cervical Dysplasia / Q000473:pathology*; D002575:Uterine Cervicitis / Q000473:pathology; D014626:Vaginal Smears
Morphologische Veränderungen von Zervixabstrichen bei Intrauterinpessar.