Abstract：
OBJECTIVE:To assess adherence to management guidelines based on the terminology used to describe atypical glandular cells (AGC) on cytology reports. MATERIALS AND METHODS:We analyzed AGC pathology reports from Hartford Hospital, 2004-2007, and identified cases of AGC with the terminology atypical glandular cells or atypical endocervical cells (AEC). We calculated rates of clinical evaluations based on the terminology used to describe the AGC. Statistical analysis was performed using the χ test. RESULTS:Seventy-eight reports contained the terminology AEC and 97 reports contained the terminology AGC. The rate of histologic sampling in women with AEC was lower than in women with AGC (52.6% vs 83.5%; p < .01). Similarly, the rate of comprehensive evaluations was lower (33.3% vs 71.1%; p < .01). Fewer endocervical curettages (47.4% vs 77.3%; p < .01) and fewer endometrial biopsies in women 35 years or older were performed (26.9% vs 69.1%; p < .01) in women with AEC than in women with AGC. CONCLUSIONS:Women with AGC reports containing the term AEC were managed less optimally than those with AGC. These results suggest that the terminology used to describe the finding of atypical glandular cells may influence the clinical evaluation. Clinicians may not recognize AEC as AGCs. Ours results suggest that the terminology atypical endocervical cells should be avoided or accompanied by the terminology atypical glandular cells.
journal_name
J Low Genit Tract Disjournal_title
Journal of lower genital tract diseaseauthors
Sharpless KE,Schnatz PFdoi
10.1097/LGT.0000000000000089subject
Has Abstractpub_date
2015-07-01 00:00:00pages
197-9issue
3eissn
1089-2591issn
1526-0976journal_volume
19pub_type
杂志文章abstract：OBJECTIVE:This study aimed to highlight that colposcopic vaginal patterns are not specific, unlike cervical colposcopic patterns, and to provide a simpler classification of vaginal colposcopic patterns. MATERIALS AND METHODS:A total of 223 patients who underwent colposcopy with Schiller test were assessed (hierarchica...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/LGT.0b013e318237ec82
更新日期：2012-04-01 00:00:00
abstract：OBJECTIVES:To determine whether there is an association between high levels of telomerase and premalignant cervical disease and to provide a preliminary analysis of telomerase activity as a potential triage strategy. MATERIALS AND METHODS:Premenopausal women were invited to participate in the study during routine gyne...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/00128360-200504000-00005
更新日期：2005-04-01 00:00:00
abstract：OBJECTIVE:The aim of the study was to examine whether high-grade cervical intraepithelial neoplasia (CIN) was more closely associated with human papillomavirus (HPV) same-genotype persistence (SGTP) versus clearance of prior infection with a subsequent infection by a new genotype (genotype switch [GS]), clearance of HP...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/LGT.0000000000000573
更新日期：2021-01-01 00:00:00
abstract：UNLABELLED:▪ OBJECTIVE:: The Home Study Course is intended for the practicing colposcopist or practitioner who is seeking to develop or enhance his or her colposcopic skills. The goal of the course is to present colposcopic cases that are unusual or instructive in terms of appearance, presentation, or management, or t...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：
更新日期：2000-07-01 00:00:00
abstract：OBJECTIVE:Women living with HIV experience higher risk of cervical cancer, but screening rates in the United States are lower than recommended. The purpose of this study was to examine whether an intervention using self-sampling of cervicovaginal cells for human papillomavirus (HPV) with results counseling would increa...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章,随机对照试验
doi：10.1097/LGT.0000000000000195
更新日期：2016-04-01 00:00:00
abstract：:To document the first reported synchronous occurrence of Hodgkin lymphoma and adenosquamous carcinoma involving the female genital tract. Review of cytologic, histologic, and immunohistochemical studies obtained from a 50-year-old, multiparous, postmenopausal, Hispanic female who had a left inguinal mass, bilateral lo...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/00128360-200310000-00015
更新日期：2003-10-01 00:00:00
abstract：OBJECTIVES:Allergic contact dermatitis is an uncommon but important cause of skin disease in the anogenital region. Relevant allergens are described in women and less commonly in men. The aim of this study was to describe outcomes of patch testing in men and women presenting with anogenital dermatoses. MATERIALS AND M...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/LGT.0000000000000516
更新日期：2020-04-01 00:00:00
abstract：OBJECTIVES:The aims of the study were to assess the clinical and histopathological characteristics of a comprehensive cohort of women with vulvovaginal melanoma (VVM) treated at our institution and to study the treatment response of checkpoint inhibitors in this patient cohort. MATERIALS AND METHODS:This is a retrospe...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/LGT.0000000000000583
更新日期：2020-11-24 00:00:00
abstract：:Atypical polypoid adenomyoma (APA) of the uterus is a rare, benign lesion. Histologically, it is composed of a glandular and squamous cell proliferation with architectural complexity and cytologic atypia of glands, and a hypercellular smooth muscle stroma. APA is difficult to distinguish from well-differentiated adeno...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1046/j.1526-0976.2002.61007.x
更新日期：2002-01-01 00:00:00
abstract：OBJECTIVE:To describe ectopic adrenocorticotropic hormone (ACTH) syndrome (EAS) to increase awareness of this condition when treating patients with gynecological small cell carcinoma (SmCC). MATERIALS AND METHODS:This is a review of a 61-year-old woman with primary vaginal SmCC and an atypical presentation of Cushing ...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/LGT.0b013e31815cda1e
更新日期：2008-04-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to demonstrate a methodology for auditing the impact of HCII testing on the direct cost of cervical cancer cytological screening, where the test is collected in all women screened and processed routinely in women age 30 years and older. MATERIALS AND METHODS:After a policy chang...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/LGT.0b013e318057f319
更新日期：2007-10-01 00:00:00
abstract：OBJECTIVE:The aims of the study were to define the heterogeneity of vulvodynia by determining data-driven subgroups within the vulvodynia diagnosis using exploratory cluster analysis and to characterize the subgroups identified. MATERIALS AND METHODS:Included were participants in the longitudinal population-based stud...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/LGT.0000000000000166
更新日期：2016-01-01 00:00:00
abstract：OBJECTIVE:This study aimed to compare cervical cytologic and histologic findings between women using depot-medroxyprogesterone acetate (DMPA) and oral contraceptives (OCs) referred for colposcopy and to determine whether there were differences in the occurrence of false-positive cytologic finding between the 2 contrace...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/LGT.0b013e31820eb140
更新日期：2011-07-01 00:00:00
abstract：BACKGROUND:Emphysematous vaginitis is a rare condition, characterized by the presence of multiple gas-filled cysts in the vaginal and/or exocervical mucosa. Although its etiology is not completely understood, it is self-limited, with a benign clinical course. Vaginal discharge, sometimes bloody, and pruritus are the mo...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/LGT.0000000000000092
更新日期：2015-04-01 00:00:00
abstract：BACKGROUND:Massive localized lymphedema (MLL) is a recently described entity associated with obesity, most often on the thighs. It rarely occurs on the vulva, and it may pose diagnostic difficulty for both clinician and pathologist in this setting. CASE:An obese 55-year-old woman underwent excision of bilateral polypo...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章,评审
doi：10.1097/LGT.0b013e31829cf432
更新日期：2014-04-01 00:00:00
abstract：OBJECTIVE:The Home Study Course is intended for the practicing colposcopist or practitioner who is seeking to develop or enhance his or her colposcopic skills. The goal of the course is to present colposcopic cases that are unusual or instructive in terms of appearance, presentation, or management, or that demonstrate ...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/01.lgt.0000171660.77437.f2
更新日期：2005-07-01 00:00:00
abstract：OBJECTIVE:The Home Study Course is intended for the practicing colposcopist or practitioner who is seeking to develop or enhance his/her colposcopic skills. The goal of the course is to present colposcopic cases that are unusual or instructive in terms of appearance, presentation, or management, or that demonstrate new...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/lgt.0b013e3180380fd3
更新日期：2007-04-01 00:00:00
abstract：OBJECTIVE:: This study aimed to explore the role of hormone replacement therapy (HRT) in susceptibility to vulvovaginal candidiasis (VVC) in a private vulval disease referral practice. METHODS:: Between January 2009 and December 2010, 149 healthy, nondiabetic patients with vulvar conditions were compared for significa...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/LGT.0b013e3182241f1a
更新日期：2011-10-01 00:00:00
abstract：OBJECTIVES:Female self-sampling for human papillomavirus (HPV) DNA testing is an alternative screening method that can potentially increase cervical cancer screening coverage. This review addresses the acceptability of HPV DNA testing using self-sampling compared with conventional clinician-collected sampling. Barriers...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/LGT.0000000000000476
更新日期：2019-07-01 00:00:00
abstract：OBJECTIVE:This study aimed to compare digital camera assessment of the reproductive tract (DART) to colposcopy for the evaluation of abnormal Pap smears. MATERIALS AND METHODS:Participants included 207 women with abnormal Pap smears. Colposcopy and DART were performed on each patient by separate examiners with the goa...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/LGT.0b013e3181a02058
更新日期：2010-01-01 00:00:00
abstract：OBJECTIVE:To compare the treatment and follow-up of patients with lichen sclerosus (LS) at the departments of Gynaecology and Dermatology at the Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands, to evaluate the need for a multidisciplinary vulvar clinic. MATERIALS AND METHODS:Treatment and follow-...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/LGT.0b013e3181c4bfe6
更新日期：2010-04-01 00:00:00
abstract：OBJECTIVE:To measure the recurrence rate of disease in women treated for cervical adenocarcinoma in situ (ACIS) by either hysterectomy or conservative surgical management. PATIENTS AND METHODS:One hundred patients with a histopathologic diagnosis of ACIS or glandular dysplasia were identified in a retrospective clinic...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/00128360-200404000-00008
更新日期：2004-04-01 00:00:00
abstract：OBJECTIVES:The objective of this multicenter trial was to determine the incidence of human papillomavirus (HPV) in the amniotic fluid of pregnant patients. METHODS:Fifty-three pregnant patients undergoing genetic counseling or amniocentesis for preterm labor were entered into the study. Cervical swabs and amniotic flu...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/00128360-199807000-00008
更新日期：1998-07-01 00:00:00
abstract：OBJECTIVES:The American Society for Colposcopy and Cervical Pathology Colposcopy Standards address the role of and approach to colposcopy and biopsy for cervical cancer prevention in the United States. Working Group 1 was tasked with defining the role of colposcopy, describing benefits and potential harms, and developi...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章,评审
doi：10.1097/LGT.0000000000000338
更新日期：2017-10-01 00:00:00
abstract：OBJECTIVES:To evaluate the therapeutic efficacy and adverse events of electrofulguration for the treatment of cervical intraepithelial lesion grade 1 (CIN 1). MATERIALS AND METHODS:Women aged 19 years and older received electrofulguration for histologically proven exocervical CIN 1. They were followed up at 3, 6, and ...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/00128360-200401000-00004
更新日期：2004-01-01 00:00:00
abstract：OBJECTIVE:This study compared the performance of cervical cytology plus human papilloma virus testing (Pap + HPV) or cervical spectroscopy (Pap + CS) for identifying high-grade cervical neoplasia in a high-risk population of women referred for colposcopy. MATERIALS AND METHODS:Each of 113 subjects underwent spectrosco...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/01.lgt.0000230208.58118.58
更新日期：2007-04-01 00:00:00
abstract：OBJECTIVES:Our aim was to evaluate the feasibility and performance of smartphone digital images for the detection of cervical intraepithelial neoplasia of grade 2 or worse (CIN2+) as an adjunct to a conventional visual inspection approach with acetic acid (VIA) and Lugol's iodine (VILI), in comparison with detection by...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/LGT.0000000000000136
更新日期：2015-10-01 00:00:00
abstract：OBJECTIVE:For the 2019 ASCCP Risk-Based Management Consensus Guidelines, we conducted a systematic review of diagnostic assays for postcolposcopy and posttreatment management. MATERIALS AND METHODS:A literature search was conducted to identify articles reporting on tests/assays for cervical cancer screening, triage, p...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章,meta分析
doi：10.1097/LGT.0000000000000526
更新日期：2020-04-01 00:00:00
abstract：:We describe a rare case of clitoromegaly due to a large clitoral cyst that occurred spontaneously without any declared previous female genital mutilation. The cyst was excised successfully with good cosmetic results. ...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/LGT.0b013e318259a410
更新日期：2013-01-01 00:00:00
abstract：OBJECTIVE:The study aims to assess the frequency of cytological abnormalities in adolescents and young women, to establish the optimum age to start screening. METHODS:A retrospective study of cervical cytology results were obtained from the data center at the Santa Casa Hospital of São Paulo between January 2006 and D...
journal_title：Journal of lower genital tract disease
pub_type： 杂志文章
doi：10.1097/LGT.0000000000000273
更新日期：2017-01-01 00:00:00
