title: [The value of colposcopy and portio biopsy in preventive examination].
abstract: 133 patients attending the colposcopy-laser outpatient consultations were examined simultaneously by cytology, colposcopy and punch biopsy. A cone biopsy was taken 25 patients and one patient was hysterectomised later. A comparison between cytology and histology revealed 17.1% false negative smear results. Cytology and histology showed the same result in 84.6%. The highest percentage of high-grade dysplasia was found in colposcopy with signs of punctation and/or mosaicism. A similar diagnosis was achieved in 92.3% of cases comparing punch with cone biopsy. Simultaneous use of cytology, colposcopy and punch biopsy enables reliable diagnosis and follow-up of dysplastic lesions of the cervix. Besides, one can use punch biopsy as basic histology for local destructive manoeuvres such as laser vaporisation.
authors.affiliation: Universitäts-Frauenklinik Tübingen.
authors.forename: M
authors.initials: M
authors.lastname: Geppert
authors.forename: B
authors.initials: B
authors.lastname: Smyczek-Gargya
authors.forename: S
authors.initials: S
authors.lastname: Blum
authors.forename: R
authors.initials: R
authors.lastname: Schrage
authors.forename: M
authors.initials: M
authors.lastname: Menton
mesh_terms: D001706:Biopsy; D002584:Cervix Uteri / Q000473:pathology; D003127:Colposcopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D053685:Laser Therapy; D009367:Neoplasm Staging; D011237:Predictive Value of Tests; D002578:Uterine Cervical Dysplasia / Q000473:pathology / Q000601:surgery; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000517:prevention & control* / Q000601:surgery
vernacular_title: Zum Stellenwert der Kolposkopie und der Portiobiopsie bei der Vorsorgeuntersuchung.