Management of Patients with Mild Dysplasia on Cervical Cytology

Abstract

The study was carried out to find out the proper management of pa tients with mild dysplasia diagnosed on cervical cytology. 

Two hundred and twenty four patients with mild dysplasia on the initial cervical cytology and in whom colposcopy or other means for histopathologic tak ing had been performed within 3 months after taking the initial Pap smears be tween September 1978 and March 1988 were the subjects to be evaluated. Three hundred and sixty six (62%) of the 590 women with mild dysplasia on the initial Pap smears were lost to follow-up. 

Thirty seven (16.5%) of 224 patients had cervical intraepithelial neoplasia (CIN) grade II or worse on histology and one patient had an invasive carcinoma. Mean age of the patients with CIN was 30 years and mean age was higher in association with the severity of CIN. The parity had no relationship with the sever ity of CIN. 

Although only 16.5% of the patients had more severe histological diagno sis of the uterine cervix than those diagnosed by cervical cytology, it was clear that there was one case of invasive carcinoma and a large number of patients had been lost to follow-up. It is recommended that all patients with a smear report of mild dysplasia should be subjects for colposcopy. (Thai J Obstet Gynaecol 1991;2:23-27.)