Özet:

The primary aim of our study was to evaluate the histological results of patients diagnosed with atypical squamous cells, cannot exclude high-grade lesion (ASC-H) by cervical cytology and to reveal the clinical importance of ASC-H.Twenty thousand one hundred sixty three cervicovaginal smears were evaluated. Seventy six (0.376 %) patients were diagnosed as ASC-H. Files of patients diagnosed with ASC-H were retrospectively reviewed. We referred patients who were diagnosed as ASC-H according to the Bethesda classification system after cervicovaginal smear for colposcopic examination. İf it is necessary, cervical biopsy, endocervical and endometrial curettage were performed by the colposcopy guide. Clinicopathological features of the patients were examined and recorded. Smear results of 20163 patients reviewed. Abnormal cytological results were found in 1188 (5.8%) patients. The abnormal cytological results were ASC-H in 76 (0.37% ) patients. Abnormal cervical dysplasia was detected in 36 (47.3%) of 76 patients diagnosed as ASC-H. Twenty (20/76-26.3%) of these abnormal lesions were high-grade cervical intraepithelial neoplasia (CIN2 / 3), 12 (12/76-15.7%) of them were low-grade cervical intraepithelial neoplasia (CIN 1) and 4 (4 /76-5%) of them were cervical carcinoma. ASC-H is a diagnosis with significant association with precancerous and cancerous lesions. Therefore, further evaluation of ASC-H patients should be performed with the necessary care and attention

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