This study analyzes pediatric and adolescent Papanicolaou (Pap) smear diagnoses to determine the prevalence rates of squamous intraepithelial lesion (SIL) as well as infectious and reactive processes in this age group.
A total of 10 296 Pap smear diagnoses from patients 10 to 19 years of age collected over a 1-year period and classified according to the Bethesda system were reviewed.
This population was almost exclusively white, the majority residing in rural or suburban areas of Maine, New Hampshire, and Vermont.
The percentage of abnormal smear results was then compared with data generated for older age subsets.
The following diagnoses were made on 10 296 Pap smears from patients 10 to 19 years of age :
7208 (70.01%) normal ;
1689 (16.4%) benign cellular change ;
1004 (9.75%) atypical squamous cells of undetermined significance ;
388 (3.77%) squamous intraepithelial lesion (SIL) ;
and 7 (0.06%) atypical glandular cells of undetermined significance.
A total of 1503 (14.6%) of smears showed infectious processes.
Compared with the results of adult Pap smears collected over the same time period, the age 20 to 29 subset with 27 067 Pap smears and the age 30+subset with 42 617 Pap smears showed 11.79% and 8.43% infectious processes and 3.49% and 1.27% SIL, respectively.
Therefore, the highest rate of infectious processes and SIL was found in the subset of patients age 10 to 19 years. (...)
Mots-clés Pascal : Frottis cervical, Test Papanicolaou, Epidémiologie, Dysplasie col utérus, Prévalence, Diagnostic, Infection, Papillomavirus humain, Papillomavirus, Papovaviridae, Virus, Etude comparative, Age, Cytopathologie, Etats Unis, Amérique du Nord, Amérique, Enfant, Homme, Adolescent, Femelle, Lésion précancéreuse, Appareil génital femelle pathologie, Col utérus pathologie, Anatomopathologie
Mots-clés Pascal anglais : Cervical smear, Papanicolaou smear test, Epidemiology, Cervical dysplasia, Prevalence, Diagnosis, Infection, Human papillomavirus, Papillomavirus, Papovaviridae, Virus, Comparative study, Age, Cytopathology, United States, North America, America, Child, Human, Adolescent, Female, Premalignant lesion, Female genital diseases, Uterine cervix diseases, Pathology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0190892
Code Inist : 002B30A01A2. Création : 16/11/1999.