Abstract
Time to colposcopy (TC) after abnormal Pap smears was evaluated for influence on cytohistologic correlation (CHC). This retrospective study assessed the correlation between TC and CHC of women who had abnormal Pap smears. Colposcopic chart review included participants from 2010- 2013 who attended a colposcopic clinic, Thammasat University Hospital, Thailand. Four hundred and sixty cases who had abnormal Pap smears were recruited. Pap reports were atypical smears with low grade squamous intraepithelial lesion (SIL), high grade SIL and cancer at 339, 114 and 7 cases, respectively. One hundred and twenty four patients underwent loop electrosurgical excision procedure (LEEP). A half of the cases were colposcopically examined within 1-2 months after abnormal Pap collection. CHC was 88 percent and not affected at all by TC. Subjects who attended cervical cancer screening from affiliated health providers had shorter TC than those screened in our tertiary hospital. Time to colposcopy with abnormal Pap smears conducted at Thammasat University Hospital had a highest frequency of 42 days, in line with the literature. Length of TC does not affect the correlation between Pap and histopathologic reports. A longer waiting period for colposcopy did not alter progression or regression of the disease.
Highlights
Cervical cancer is the second most cause of death in Thai women (Ferlay et al, 2010)
Time to colposcopy (TC) after abnormal Pap smears was evaluated for influence on cytohistologic correlation (CHC)
Subjects who attended cervical cancer screening from affiliated health providers had shorter TC than those screened in our tertiary hospital
Summary
Cervical cancer is the second most cause of death in Thai women (Ferlay et al, 2010). Pap smear is the most popular cervical cancer screening used in Thailand and worldwide. The use of Pap smear for cytology-based screening has been a cost-effective tool for the prevention of cervical cancer in developing countries. After the result of an abnormal Pap smear was revealed, colposcopy is the recommended procedure. Colposcopy is the gold standard of abnormal Pap smear investigation. Time to colposcopy (TC) after abnormal Pap smears was evaluated for influence on cytohistologic correlation (CHC). Materials and Methods: This retrospective study assessed the correlation between TC and CHC of women who had abnormal Pap smears. Results: Four hundred and sixty cases who had abnormal Pap smears were recruited. Conclusions: Time to colposcopy with abnormal Pap smears conducted at Thammasat University Hospital had a highest frequency of 42 days, in line with the literature. A longer waiting period for colposcopy did not alter progression or regression of the disease
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