Mulheres submetidas à conização de colo uterino : análise dos resultados citológico e histopatológico

Abstract

Objective: This study aims to relate the cytohistological findings in patients undergoing excisional procedure the cervix, evaluating the diagnostic discrepancies found. Methods: We evaluated 52 patients who underwent cervical conization for cervical intraepithelial neoplastic in the clinic of Lower Genital Trac t Pathology Sector of Assis Chateaubriand Maternity Hospital, assisted in the period January 2012 and December 2013 retrospectively by chart review. The cytological diagnoses were compared with the colposcopy findings and histopathological results to obser ve that the level of agreement. Results: The mean age of patients was 36.5 years. The average parity was 3. 16 patients with pathology (AP) High Frequency Surgery (CAF) CIN 3, 3 had Atypical Squamous Cells cytology of Undetermined Significance (ASC - US), 3 low - grade squamous intraepithelial lesion (LIEBG) and 15 high - grade squamous intraepithelial lesion (HSIL) in cytology prior to the procedure. The 11 patients with CIN 2 in the CAF AP, 1 had previous cytology showing ASC - US). Conclusion: There was good agr eement between the cytological and histological findings. About 20% of patients with CIN 2 or 3 after excisional treatment CAF had previous cytology indicating lower cervical injury.