[The value of colposcopy and computerised colposcopy in diagnosis and therapeutic management of CIN and early invasive cervical cancer in pregnant women].
OBJECTIVE
The aim of the study was determining the value of colposcopy, especially with computerised documentation of serial colposcopic pictures in diagnosis and therapeutic management of CIN and early cervical cancer in pregnant women.


METHODS
Material consisted of 96 pregnant women aged 26-45 with CIN and Ca IA. Patients were diagnosed and treated between 1990-1999. There were performed colposcopic examinations, cytology and histological evaluation of colposcopy directed specimen. Lately colposcopic pictures were stored as graphic files by camera connected to PC.


RESULTS
The positive correlation between colposcopy and histology was established in 86 women (89.9%) and between cytology and histology in 76 women (79.2%). Progression of CIN and Ca IA was noted in 8 women (8.3%).


CONCLUSIONS
Colposcopy, especially computerised colposcopy enables cervical lesion evaluation in pregnant women and thus enables proper therapeutic management.
Basta
Antoni
A
Katedry i Kliniki Ginekologii i Onkologii Collegium Medicum Uniwersytetu Jagiellońskiego.
Szczudrawa
Andrzej
A
Pityński
Kazimierz
K
Kolawa
Wojciech
W
D003127:Colposcopy / Q000379:methods; D005260:Female; D006801:Humans; D007090:Image Interpretation, Computer-Assisted; D016347:Medical Records Systems, Computerized; D008875:Middle Aged; D011044:Poland; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis* / Q000628:therapy; D012680:Sensitivity and Specificity; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000628:therapy; D014626:Vaginal Smears; D002578:Uterine Cervical Dysplasia / Q000175:diagnosis* / Q000628:therapy