Premium
Colposcopic Differential Diagnosis of Dysplasia, Carcinoma in Situ and Microinvasive Carcinoma of the Cervix
Author(s) -
Noda Sadamu
Publication year - 1981
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.1981.tb00121.x
Subject(s) - carcinoma in situ , cervix , medicine , colposcopy , dysplasia , differential diagnosis , carcinoma , gynecology , pathology , cancer , cervical cancer
Summary: Two hundred and twenty‐eight patients with cervical neoplasia, detected in routine uterine cancer screening at the Center for Adult Diseases, Osaka, from 1973 through 1977 were selected. The histological diagnosis was as follows: dysplasia, 69; carcinoma in situ, 102; and microinvasive carcinoma, 57. A retrospective study of this material was made with the aid of adequate colposcopic colour photographs, and features likely to be useful in differential diagnosis were determined. Atypical vessels were seen in 24 of 36 patients (67%) with Stage la 1 lesions, but only in a few of those with Stage 0 2 lesions. Punctation, mosaic and white epithelium were less evident in stage la 2 than in Stage 0 1 and Stage 0 2 . Punctation, mosaic and white epithelium in patients with dysplasia were less formed, and their borders were less distinct than in patients with Stage 0 lesions. These characteristic changes are of value in accurate colposcopic diagnosis.