Stručni rad
COLPOSCOPY, BIOPSY AND ELECTROSURGICAL LOOP EXSCISION OF THE TRANSFORMATION ZONE IN GLANDULAR CERVICAL ATYPIA DETECTION. REPORT OF THREE CASES
Jasenka Grujić Koračin
; Privatna ginekološka ordinacija »Dr Jasenka Grujić Koračin«,Gupčeva zvijezda 1, 10 000 Zagreb
Branka Molnar Stantić
; Privatna specijalistička ordinacija medicinske citologije
Danijela Kolenc
; Zavod za patologiju, Medicinski fakultet Sveučilišta u Zagrebu
Ljubomir Jokanović
; Klinika za ženske bolesti i porodništvo Kliničke bolnice »Sestre milosrdnice
Danka Mirić Tešanić
; Privatna ginekološka ordinacija »Dr Jasenka Grujić Koračin«,Gupčeva zvijezda 1, 10 000 Zagreb
Irena Belić
; Privatna ginekološka ordinacija »Dr Jasenka Grujić Koračin«,Gupčeva zvijezda 1, 10 000 Zagreb
Sažetak
During the last decades relative as well as absolute increase in the number of women suffering from cervical adenocarcinoma has been reported. There is good evidence to support the concept that adenocarcinoma in situ is a premalignant condition. Early diagnosis of glandular disease, malignant potential of which has not yet been completely revealed, is crucial. As preinvasive glandular lesions are asymptomatic, detection occurs either by cytology or by chance following biopsy for other reasons. The terminology related to glandular atypia is quite diverse, making the retrieval of classification rather difficult. The colposcopy may indicate the existence of glandular atypia, although the significance of this method is of less value than in the diagnostics of squamous lesions. It has been suggested that adenocarcinoma in situ is associated with dense acetowhite fused villi although these features are not always pathognomonic. Three patients with colposcopic findings suspected to glandular lesion and the diagnosis of adenocarcinoma in situ confirmed by electroexcisional biopsy are presented. The significance of various biopsy methods are also discussed as wel as possible conservative ways of treatment in women who want to save their fertility
Ključne riječi
cervical glandular atypia; cervical adenocarcinoma; colposcopy; LETZ
Hrčak ID:
69736
URI
Datum izdavanja:
1.9.2010.
Posjeta: 5.510 *