Incidence of abnormal cervical cytology in pregnant adolescent women

MUTO Haruka, YAMAMASU Seiichi, INUKAI Kana, SHINDO Mariko, ISHIDA Emi, SHIMADA Katsuko, KUSUMOTO Yuki

doi:10.11437/sanpunosinpo.74.295

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若年妊婦における子宮頸部細胞診異常の頻度とフォローアップに関する検討
ジャクネンニンプニオケルシキュウケイブサイボウシンイジョウノヒンドトフォローアップニカンスルケントウ

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Abstract

<p>This retrospective study aimed to investigate the incidence of abnormal cervical cytology in pregnant adolescent women (age < 21 years at the initial visit) and the follow-up course of these patients. We assessed 336 pregnancies in 306 women, and 17 (5.1%) had abnormal results, including 13 (3.9%) with atypical squamous cells of undetermined significance (ASC-US), three (0.9%) with low-grade squamous intraepithelial lesions (LSIL), and one (0.3%) with high-grade squamous intraepithelial lesions (HSIL). The patients with LSIL or HSIL were above aged 18 years or older, whereas even 14-year-old patients had ASC-US. Eight out of 11 ASC-US cases tested for high-risk human papillomavirus had positive results. In postpartum follow-up, six out of 12 women had abnormal cytology results, but none required cervical conization. Four cases with abnormal cervical smears during pregnancy were lost to postpartum follow-up. In conclusion, the incidence of abnormal cervical cytology was approximately 5% in pregnant adolescent women. Abnormal postpartum findings remained in nearly half of the cases. [Adv Obstet Gynecol, 74 (3) : 295-300, 2022 (R4.8)]</p>

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ADVANCES IN OBSTETRICS AND GYNECOLOGY

ADVANCES IN OBSTETRICS AND GYNECOLOGY 74 (3), 295-300, 2022

THE OBSTETRICAL GYNECOLOGICAL SOCIETY OF KINKI DISTRICT JAPAN

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