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Article: Atypical glandular cells diagnosed during pregnancy and the postpartum period: A retrospective analysis

TitleAtypical glandular cells diagnosed during pregnancy and the postpartum period: A retrospective analysis
Authors
Keywords'Favor neoplasia'
'NOS'
AGC
AGUS
Postpartum
Pregnancy
Issue Date2011
PublisherElsevier Ireland Ltd. The Journal's web site is located at http://www.elsevier.com/locate/ejogrb
Citation
European Journal Of Obstetrics Gynecology And Reproductive Biology, 2011, v. 155 n. 2, p. 213-216 How to Cite?
AbstractObjectives: The objective of the study was to determine the prevalence and clinical significance of atypical glandular cells (AGC) or atypical glandular cells of undetermined significance (AGUS) diagnosed in pregnant and postpartum women. Study design: Smears having a diagnosis of AGC or AGUS, taken from pregnant and postpartum (within six weeks after delivery) women between 1995 and 2008 were reviewed and subclassified according to the Bethesda 2001 classification. Case records were then reviewed and a second cytology review was performed after disclosure of the follow-up data. Results: Among 91,133 smears taken from pregnant and postpartum women, 70 had AGC or AGUS (0.07%) diagnosed. Follow-up data were available in 40 cases, with mean duration of follow-up being 43 months. Among the 40 patients with follow-up data, nineteen had smears with coexisting squamous abnormalities. Thirty patients had positive pathology, including 18 (45%) cervical intraepithelial neoplasia III (CIN III), four (10%) cervical adenocarcinoma-in situ, three (7.5%) squamous cell carcinoma of cervix, four (10%) condylomas and one (2.5%) hydatidiform mole. On review, 24 out of 32 smears with AGC 'not otherwise specified' ('NOS') had significant pathology. Conclusions: AGC found on cervical smears during pregnancy and the postpartum period is uncommon. The chance of having significant cervical pathology, however, is high and colposcopy should be performed. © 2010 Elsevier Ireland Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/137617
ISSN
2015 Impact Factor: 1.662
2015 SCImago Journal Rankings: 0.808
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorTam, KFen_HK
dc.contributor.authorCheung, ANYen_HK
dc.contributor.authorSzeto, Een_HK
dc.contributor.authorNgan, HYSen_HK
dc.date.accessioned2011-08-26T14:29:14Z-
dc.date.available2011-08-26T14:29:14Z-
dc.date.issued2011en_HK
dc.identifier.citationEuropean Journal Of Obstetrics Gynecology And Reproductive Biology, 2011, v. 155 n. 2, p. 213-216en_HK
dc.identifier.issn0301-2115en_HK
dc.identifier.urihttp://hdl.handle.net/10722/137617-
dc.description.abstractObjectives: The objective of the study was to determine the prevalence and clinical significance of atypical glandular cells (AGC) or atypical glandular cells of undetermined significance (AGUS) diagnosed in pregnant and postpartum women. Study design: Smears having a diagnosis of AGC or AGUS, taken from pregnant and postpartum (within six weeks after delivery) women between 1995 and 2008 were reviewed and subclassified according to the Bethesda 2001 classification. Case records were then reviewed and a second cytology review was performed after disclosure of the follow-up data. Results: Among 91,133 smears taken from pregnant and postpartum women, 70 had AGC or AGUS (0.07%) diagnosed. Follow-up data were available in 40 cases, with mean duration of follow-up being 43 months. Among the 40 patients with follow-up data, nineteen had smears with coexisting squamous abnormalities. Thirty patients had positive pathology, including 18 (45%) cervical intraepithelial neoplasia III (CIN III), four (10%) cervical adenocarcinoma-in situ, three (7.5%) squamous cell carcinoma of cervix, four (10%) condylomas and one (2.5%) hydatidiform mole. On review, 24 out of 32 smears with AGC 'not otherwise specified' ('NOS') had significant pathology. Conclusions: AGC found on cervical smears during pregnancy and the postpartum period is uncommon. The chance of having significant cervical pathology, however, is high and colposcopy should be performed. © 2010 Elsevier Ireland Ltd.en_HK
dc.languageengen_US
dc.publisherElsevier Ireland Ltd. The Journal's web site is located at http://www.elsevier.com/locate/ejogrben_HK
dc.relation.ispartofEuropean Journal of Obstetrics Gynecology and Reproductive Biologyen_HK
dc.subject'Favor neoplasia'en_HK
dc.subject'NOS'en_HK
dc.subjectAGCen_HK
dc.subjectAGUSen_HK
dc.subjectPostpartumen_HK
dc.subjectPregnancyen_HK
dc.subject.meshCarcinoma in Situ - diagnosis - epidemiology - etiology - pathology-
dc.subject.meshCervical Intraepithelial Neoplasia - diagnosis - epidemiology - etiology - pathology-
dc.subject.meshCervix Uteri - pathology-
dc.subject.meshPrecancerous Conditions - diagnosis - epidemiology - pathology - physiopathology-
dc.subject.meshPregnancy Complications, Neoplastic - diagnosis - epidemiology - pathology - physiopathology-
dc.titleAtypical glandular cells diagnosed during pregnancy and the postpartum period: A retrospective analysisen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0301-2115&volume=155&issue=2&spage=213&epage=216&date=2011&atitle=Atypical+glandular+cells+diagnosed+during+pregnancy+and+the+postpartum+period:+a+retrospective+analysisen_US
dc.identifier.emailCheung, ANY:anycheun@hkucc.hku.hken_HK
dc.identifier.emailNgan, HYS:hysngan@hkucc.hku.hken_HK
dc.identifier.authorityCheung, ANY=rp00542en_HK
dc.identifier.authorityNgan, HYS=rp00346en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.ejogrb.2010.12.009en_HK
dc.identifier.pmid21227567-
dc.identifier.scopuseid_2-s2.0-79952991898en_HK
dc.identifier.hkuros190743en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79952991898&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume155en_HK
dc.identifier.issue2en_HK
dc.identifier.spage213en_HK
dc.identifier.epage216en_HK
dc.identifier.isiWOS:000289454600021-
dc.publisher.placeIrelanden_HK
dc.identifier.scopusauthoridTam, KF=35622901400en_HK
dc.identifier.scopusauthoridCheung, ANY=54927484100en_HK
dc.identifier.scopusauthoridSzeto, E=6603826287en_HK
dc.identifier.scopusauthoridNgan, HYS=34571944100en_HK
dc.identifier.citeulike8610697-

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