[Diagnostic conization of collum uteri (author's transl)].
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Biomedical subjects
Publications and source records attributed to U Geissler.
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On the basis of the experience which was gained with the use of EDP in the documentation of patient data a compatible system for request, processing and documentation for cytological examinations was developed. It was introduced into routine work in July 1976. Since then there as been an increase in the efficiency of the cytological examinations by abolishing manual recording. Further on, this has lead to better possibilities for scientific evaluation. The system is user-oriented as far as the request for examinations and the establishment of diagnoses are concerned by automatically produced reports. The application of this project by others is possible.
In an evaluation of 200 histological endometrial findings of female patients having postmenopausal haemorrhage malign changes were noticed in five per cent of the cases. This figure is much smaller than that which is usually mentioned in literature. However it corresponds in its proportion with the known clinical and anamestic risk factors.
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This study concerns 1000 diagnostic conizations of the uterine cervix performed between 1969 and 1975 and the distribution of histologic findings. 91,3 per cent of the total group demonstrated atypical lesions. 8,7 per cent of the patients had benign disorders; in these cases colposcopic and cytologic screening had been overrated.
This report presents colposcopic and cytologic misinterpretations in cases with a cervical intraepithelial neoplasia or early invasive carcinoma and benign cervical lesions and the accuracy of these two methods of screening for cervical cancer. The accuracy of the cytology and of the colposcopic impression in predicting the degree of cervical intraepithelial neoplasia and early invasive carcinoma was over 93 per cent. In patients showing benign cervical lesions the cytology is more accurate in predicting the correct histologic change with 94,2 per cent than the colposcopic impression with 63,1 per cent. The suspicious smears (Papanicolaou III) are discussed.
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