Abstract

MOGOLLON TORRES, Jorge. Diagnostic concordance between cervico-vaginal cytology, cervix biopsy and hysterectomy in patients with Cervical Intraepithelial Neoplasia at the Erasmo Meoz Hospital in Cucuta, Colombia. Rev Colomb Obstet Ginecol [online]. 2004, vol.55, n.1, pp.29-36. ISSN 0034-7434.

During eight and a half months, 433 hysterectomies were performed at the Erasmo Meoz Hospital. The diagnoses revealed that 132 (30,5%) of them were squamous intraepithelial lesions of the cervix. The calculated rate of agreement between cytologic and histologic diagnoses is 36% for cervical intraepithelial neoplasia 1, 50% for cervical intraepithelial neoplasia 2 and 77% for cervical intraepithelial neoplasia 3. The Kappa value is 0,32 for cytology vs. biopsy. The rate of agreement between the biopsy and the hysterectomy is 47,6% for cervical intraepithelial neoplasia 1, 37,1% for cervical intraepithelial neoplasia 2 and 70,6% for cervical intraepithelial neoplasia 3; the Kappa value is 0,57. The current policies of the Ministry of Health regarding the management of these lesions are presented and a review of the nomenclature is made.

Keywords : hysterectomy; intraepithelial neoplasia; cytopathology; histopathology; correlation.

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