Incidence of abnormal cervical cytology in pregnant adolescent women

  • MUTO Haruka
    Department of Obstetrics and Gynecology, Hannan Chuo Hospital
  • YAMAMASU Seiichi
    Department of Obstetrics and Gynecology, Hannan Chuo Hospital
  • INUKAI Kana
    Department of Obstetrics and Gynecology, Hannan Chuo Hospital
  • SHINDO Mariko
    Department of Obstetrics and Gynecology, Hannan Chuo Hospital
  • ISHIDA Emi
    Department of Obstetrics and Gynecology, Hannan Chuo Hospital
  • SHIMADA Katsuko
    Department of Obstetrics and Gynecology, Hannan Chuo Hospital
  • KUSUMOTO Yuki
    Department of Obstetrics and Gynecology, Hannan Chuo Hospital

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Other Title
  • 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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