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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1988-2-25
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pubmed:abstractText |
Of 2232 women with no cytologic evidence of intraepithelial neoplasia, 250 (11.2%) were positive for human papillomavirus deoxyribonucleic acid (DNA) by filter in situ hybridization. In 150 of those human papillomavirus-positive patients, an adequate colposcopic examination of the cervix was possible; human papillomavirus infection was diagnosed in 104 women (70%). Cervical cytology showed evidence of human papillomavirus infection in only 23 patients (15%). The following colposcopic features were most common: acetowhite epithelium (29%), punctuation (18%), acetowhite spikes (17%), and mosaicism (9%). Colposcopy was essentially normal in 27%. In 64 hysterectomized patients, vaginal colposcopy showed evidence of human papillomavirus infection in 38 women (59%). Vaginal cytology showed signs of human papillomavirus infection in only 9% (N = 6). Acetowhite spikes were seen in 52%, acetowhite epithelium in 5%, punctuation in 3%, and normal findings in 40%. Histologic examination of 25 biopsy specimens (cervical, N = 15; vaginal, N = 10) showed mainly a lack of glycogenation, acanthosis, and elongation of rete pegs. Koilocytosis and dyskeratosis were seen only in a few cases as rare foci, hence the negative cytology. We conclude that colposcopy is far more sensitive than cytology for the detection of cervical and vaginal human papillomavirus infection.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0029-7844
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
71
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
236-41
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pubmed:dateRevised |
2009-10-26
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pubmed:meshHeading |
pubmed-meshheading:2827083-Adult,
pubmed-meshheading:2827083-Cervix Uteri,
pubmed-meshheading:2827083-Colposcopy,
pubmed-meshheading:2827083-Cytodiagnosis,
pubmed-meshheading:2827083-Female,
pubmed-meshheading:2827083-Humans,
pubmed-meshheading:2827083-Middle Aged,
pubmed-meshheading:2827083-Papillomaviridae,
pubmed-meshheading:2827083-Tumor Virus Infections,
pubmed-meshheading:2827083-Uterine Cervical Diseases,
pubmed-meshheading:2827083-Vaginal Smears
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pubmed:year |
1988
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pubmed:articleTitle |
Colposcopy is superior to cytology for the detection of early genital human papillomavirus infection.
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pubmed:affiliation |
Department of Gynecology and Obstetrics, University of Ulm, West Germany.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't
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