[The Pap test in HIV-positive women].
The aim of this work was to estimate the frequency of abnormal Papanicolau (Pap) smears in a group of HIV-infected women undergoing cervical screening. We re-examined 162 Pap smears from 118 patients infected with HIV. The patients were aged 23-55 years. A total of 108 smears (66.6%) from 80 patients were negative; 14 smears (8.6%) from 14 patients showed inflammation; 3 smears (1.8%) from 3 patients had atypical squamous cells of undetermined significance (ASCUS); 20 smears (13.5%) from 16 patients were abnormal for human papillomavirus (HPV); 13 smears (8.0%) from 9 patients revealed low-grade, squamous intraepithelial lesions; 10 smears (6.2%) from 7 patients were SIL-HG; the diagnosis of carcinoma was made in 3 cases (1.8%) and 2 smears from 2 patients were unsatisfactory. HIV-infected women have an increased rate of abnormal Pap smears for both HPV infections and cervical dysplasia. These results confirm the validity of cervical screening by Pap test.
Carlucci
M
M
Dipartimento di Anatomia Patologica e Genetica, Università di Bari, Piazza G. Cesare 11, I-70124 Bari, Italia. ricco@anatopat.uniba.it
Cimmino
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A
Fiore
M G
MG
Lepera
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A
Tantimonaco
L
L
Ricco
R
R
D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000453:epidemiology / Q000473:pathology; D002584:Cervix Uteri / Q000473:pathology* / Q000821:virology; D004847:Epithelial Cells / Q000473:pathology / Q000821:virology; D005260:Female; D015658:HIV Infections / Q000150:complications / Q000453:epidemiology / Q000473:pathology*; D006679:HIV Seropositivity; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008403:Mass Screening; D008875:Middle Aged; D065006:Papanicolaou Test; D027383:Papillomaviridae / Q000302:isolation & purification; D030361:Papillomavirus Infections / Q000150:complications / Q000453:epidemiology / Q000473:pathology; D015995:Prevalence; D014412:Tumor Virus Infections / Q000150:complications / Q000453:epidemiology / Q000473:pathology; D002578:Uterine Cervical Dysplasia / Q000150:complications / Q000453:epidemiology / Q000473:pathology; D002583:Uterine Cervical Neoplasms / Q000150:complications / Q000453:epidemiology / Q000473:pathology; D002575:Uterine Cervicitis / Q000150:complications / Q000453:epidemiology / Q000473:pathology; D014626:Vaginal Smears
Il Pap test in donne HIV positive.