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The Significance of Human Papilloma Virus Atypia (‘Wart Virus Infection’) Found Alone on Cervical Cytology Screening
Author(s) -
Pagano Ross,
Chanen William,
Rome Robert M.,
Johnstone Neil R.
Publication year - 1987
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.1987.tb00964.x
Subject(s) - colposcopy , cytology , medicine , cervical intraepithelial neoplasia , atypia , hpv infection , human papilloma virus , human papillomavirus , koilocyte , gynecology , papillomaviridae , intraepithelial neoplasia , pathology , cervical cancer , cancer , prostate
Summary: A series of 429 patients has been analysed in which the cytology smear report suggested human papillomavirus (HPV) infection alone. All patients were examined colposcopically and in 58 (13.6%) associated histologically confirmed cervical intraepithelial neoplasia (CIN) was demonstrated. CIN subsequently developed in an additional 10% of those patients who returned for follow‐up over an ensuing 3‐year period. Follow‐up with repeat cervical cytology smears alone was unreliable as 4% of patients even with normal repeat smears had histologically proven CIN and a further 4% of these patients subsequently developed CIN. Colposcopy is recommended in all patients whose cytology smear shows HPV infection.