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Federación Mexicana de Ginecología y Obstetricia, A.C.

2023, Number 01

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Ginecol Obstet Mex 2023; 91 (01)

Concordance in cytological, colposcopic and histological findings in premalignant lesions of the cervix

Mayorga-Bautista CD, Hidalgo-Martínez SM, Romo-Rodríguez MR, Villareal-Ríos E, Robledo-Abarca OM

Language: Spanish
References: 11
Page: 32-38
PDF size: 188.97 Kb.


ABSTRACT

Objective: To determine the concordance in cytologic, colposcopic and histopathologic findings in premalignant lesions of the uterine cervix.
Materials and Methods: Cross-sectional, retrospective and comparative study, carried out in the dysplasia clinic of the Hospital General Regional 1 of the state of Querétaro, Mexico, from January 1 to December 2020, based on information from the records of women with cytology, colposcopy and histopathology (biopsy) report with low- and high-grade intraepithelial lesion. The statistical analysis plan included confidence intervals for averages and percentages. The weighted Kappa Index was used to determine the level of concordance.
Results: Two hundred and ninety records were analyzed. The mean age of the patients was 36 years, the weighted kappa index was k = 0.41 (95%CI: 0.33-0.53) for cytology and colposcopy with a moderate value (fair). For cytology and biopsy, it was k= 0.33 (95%CI: 0.22-0.49) with a poor value (medium). For colposcopy and biopsy, it was k = 0.61 (95%CI: 0.49-0.72) with a value of good (substantial) agreement.
Conclusions: Between cytology and colposcopy the concordance coefficient was moderate, for cytology and biopsy it was poor, while for colposcopy and biopsy it was a substantial.


REFERENCES

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