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Stromal Decidual Change in the Pregnant Cervix: Colposcopic, Cytological and Histological Considerations
Author(s) -
Laverty Colin R.,
Fortune Denys W.,
Davoren Ruth,
Butterfield Louis J.,
Hollyock Ver E.
Publication year - 1974
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1974.tb00835.x
Subject(s) - colposcopy , cytology , decidua , medicine , cervix , biopsy , cervical intraepithelial neoplasia , stromal cell , pathology , gynecology , pregnancy , cervical cancer , biology , placenta , fetus , cancer , genetics
Summary: Forty‐two pregnant patients with cytology smears suggesting cervical intra‐epithelial neoplasia were examined in a special clinic by colposcopy, cytology and biopsy. This study was concerned with the recognition of decidual change in the cervical stroma in these patients, establishing its incidence and deterrnining whether its presence influenced interpretation of the colposcopic and cytological findings. Intense decidual change was seen in die biopsy from 6 patients (14.3%); in 4 of these the change was colposcopically apparent, and in 1 decidual cells were present in the cytology smear. Colposcopically, decidual alteration can be distinguished from atypical transformation zone changes suggestive of cervical intra‐epithelial neoplasia. Similarly, in cytology smears, die well preserved decidual cells of cervical origin are not difficult to distinguish from atypical squamous cells.