title: Cervicoscopy and Microcolposcopy in the Evaluation of Squamo Columnar Junction and Cervical Canal in LSIL Patients with Inadequate or Negative Colposcopy.
abstract: OBJECTIVE
  The present study evaluated indications' validity of cervicoscopic and microcolposcopic examination in LSIL patients with unsatisfactory or negative colposcopy.
  
  
  METHODS
  [corrected] In the cervico-vaginal pathology unit of the "San Giovanni Calibita Fatebenefratelli" University of Rome "Tor Vergata", 119 patients with a positive cervical cytology (LSIL), were submitted to the exam for the following two indications: 1) unsatisfactory colposcopy 37 (31.1%); 2) negative colposcopy 82 (68.9%).
  
  
  RESULTS
  Cervicoscopy allowed the SCJ visualization in 115 (9.6%) patients. In 4 patients 3.4%, the SCJ visualization was not possible due to cervical stenosis. Cervicoscopy without staining, revealed endocervical squamous columnar junction in 33 (28.7%) patients. The blue dye in panoramic view detected endocervical SCJ in 41 (35.7%), out of 115 patients (>5 mm in 34 (29.6%) patients and >10 mm in 7 (6.1%)).
  
  
  CONCLUSIONS
  Cervicoscopic examination revealed 7.8% of CIN2-3 in LSIL patients with inadequate or negative colposcopy. In patients with negative colposcopy the percentage of undiagnosed lesions inside the cervical canal was very low. The blue dye added sensitivity to the exam.
authors.affiliation: Tor Vergata University, Rome Italy;
authors.forename: Edoardo
authors.initials: E
authors.lastname: Valli
authors.forename: Guido
authors.initials: G
authors.lastname: Fabbri
authors.forename: Chiara
authors.initials: C
authors.lastname: Centonze
authors.forename: Alessandro
authors.initials: A
authors.lastname: Bompiani
authors.forename: Federico
authors.initials: F
authors.lastname: Baiocco
authors.forename: Giovanni
authors.initials: G
authors.lastname: Larciprete
authors.forename: Alessio
authors.initials: A
authors.lastname: Ghinassi
keywords: LSIL; cervicoscopy; inadequate colposcopy; microcolposcopy; squamocolumnar junction