Skip to main content
Log in

Histopathological correlation of cervical biopsy and tissue after excision in patients with precancerous lesions of the cervix

  • Gynecologic Oncology
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Introduction

Cervical intraepithelial neoplasia (CIN) are precancerous lesion of cervix, with incidence of 1.6 per 1000 for CIN 1 lesion and 1.2 per 1000 for CIN 3 lesion in USA. According to IARC incidence is higher in less developed and developing countries. Taking into account the fact that the sensitivity, specificity and accuracy of Papanicolaou swab and colposcopy vary, the final diagnosis is made by colposcopically guided biopsy and by excisions of the cervix.

Aim of the study

Comparing the histopathological findings of cervical biopsy and definitive histopathological findings after cervical excision in precancerous lesions of the cervix in relation to the degree of lesion, age and institution, where the biopsy was performed.

Materials and methods

The study was retrospective and was conducted on a group of patients who underwent some excision techniques on the cervix after obtaining a histological finding of the cervical biopsy.

Results

In a total sample of 168 patients, a correlation of histopathological analysis of biopsy material and excision techniques was observed in 62.5% (105/168). This correlation was statistically significant (χ2 = 5.333, df 1; p = 0.0209). The greater correlation of histopathological material of biopsies and final histopathological material after excisions were obtained in Oncology Institute of Vojvodina (OIV) without statistical significance.

Conclusion

A statistically significant accuracy of biopsy was noted in examined group of patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

References

  1. Bray F, Ferla J, Soerjomataram I, Siegel RL, Torre LA, Jemal A (2018) Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 68(6):394–424. https://doi.org/10.3322/caac.21492. Epub 2018 Sep 12. Erratum in: CA Cancer J Clin 2020 Jul;70(4):313. PMID: 30207593

  2. Bruni L, Albero G, Serrano B, Mena M, Gómez D, Muñoz J, Bosch F.X, de Sanjosé S. ICO/IARC Information centre on HPV and cancer (HPV Information Centre) Human papillomavirus and related diseases report in EUROPE. Available from: http://www.hpvcentre.net/statistics/reports/XEX.pdf.

  3. Bruni L, Albero G, Serrano B, Mena M, Gómez D, Muñoz J, Bosch FX, de Sanjosé S (2019) ICO/IARC Information centre on HPV and cancer (HPV information centre). Human papillomavirus and related diseases in Europe. Summary Report 17 June 2019. [Date Accessed: 11.10.2019]

  4. Chang HK, Seo SS, Myong JP, Yu YL, Byun SW (2019) Incidence and costs of cervical intraepithelial neoplasia in the Korean population. J Gynecol Oncol 30(3):e37

    Article  Google Scholar 

  5. Szarewski A, Ambroisine L, Cadman L, Austin J, Ho L, Terry G et al (2008) Comparison of predictors for high-grade cervical intraepithelial neoplasia in women with abnormal smears. Cancer Epidemiol Biomarkers Prev 17:3033–3042

    Article  CAS  Google Scholar 

  6. Dillner J, Rebolj M, Birembaut P, Petry KU, Szarewski A, Munk C et al (2008) Long term predictive values of cytology and human papillomavirus testing in cervical cancer screening: joint European cohort study. BMJ 337:a1754

    Article  Google Scholar 

  7. Katki HA, Kinney WK, Fetterman B, Lorey T, Poitras NE, Cheung L et al (2011) Cervical cancer risk for women undergoing concurrent testing for human papillomavirus and cervical cytology: a population-based study in routine clinical practice. Lancet Oncol 12:663–672

    Article  Google Scholar 

  8. Mustafa RA et al (2016) Systematic reviews and meta-analyses of the accuracy of HPV tests, visual inspection with acetic acid, cytology, and colposcopy. Int J Gynaecol Obstet 132(3):259–265

    Article  Google Scholar 

  9. Wang J, El-Bahrawy M (2011) The diagnostic accuracy of cervical biopsies in determining cervical lesions: an audit. Pathologica 103(6):331–336

    CAS  PubMed  Google Scholar 

  10. Khan MJ, Werner CL, Darragh TM, Guido RS, Mathews C et al (2017) ASCCP Colposcopy standards. J Lower Genit Tract Dis 21(4):223–229

    Article  Google Scholar 

  11. Wentzensen N, Schiffman M, Silver M et al (2017) ASCCP Colposcopy standards: risk-based colposcopy practice. J Low Genit Tract Dis 21:230–234

    Article  Google Scholar 

  12. Basu P, Taghavi K, Mogri S, Joshi S (2018) Management of cervical premalignant lesions. Curr Probl Cancer 42(2):129–136

    Article  Google Scholar 

  13. Brummer O, Hollwitz B, Böhmer G et al (2006) Human papillomavirus-type persistence patterns predict the clinical outcome of cervical intraepithelial neoplasia. Gynecol Oncol 102:517–522

    Article  Google Scholar 

  14. Petry KU (2011) Management options for cervical intraepithelial neoplasia. Best Pract Res Clin Obstet Gynaecol 25(5):641–651

    Article  Google Scholar 

  15. Mandic A, Knezevic-Usaj S, Nincic D, Rajovic J, Popovic M, Kapicl TI (2013) Comparison of the histopathological findings after cervical biopsy and excisional procedures. Acta Medica (Hradec Kralove) 56(1):19–22

    Article  Google Scholar 

  16. Jung Y, Lee AR, Park DC, Park EK (2018) Clinical factors that affect diagnostic discrepancy between colposcopically directed biopsies and loop electrosurgical excision procedure conization of the uterine cervix. Obstet Gynecol Sci 61(4):477

    Article  Google Scholar 

  17. Duesing N, Schwarz J, Choschzick M, Jaenicke F, Gieseking F, Issa R et al (2012) Assessment of cervical intraepithelial neoplasia (CIN) with colposcopic biopsy and efficacy of loop electrosurgical excision procedure (LEEP). Arch Gynecol Obstet 286:1549–1554

    Article  Google Scholar 

  18. Stoler MH, Vichnin MD, Ferenczy A, Ferris DG, Perez G, Paavonen J et al (2011) The accuracy of colposcopic biopsy: analyses from the placebo arm of the Gardasil clinical trials. Int J Cancer 128:1354–1362

    Article  CAS  Google Scholar 

  19. Boonlikit S, Asavapiriyanont S, Junghuttakarnsatit P, Tuipae S, Supakarapongkul W (2006) Correlation between colposcopically directed biopsy and large loop excision of the transformation zone and influence of age on the outcome. J Med Assoc Thai 89(3):299–305

    CAS  PubMed  Google Scholar 

  20. Arbyn M, Anttila A, Jordan J, Ronco G, Schenck U, Segnan N, Wiener A, Herbert A, von Karsa L (2008) European guidelines for quality assurance in cervical cancer screening, 2nd edn. European Community, Office for Official Publications of the European Communities, Brussels Luxembourg

    Google Scholar 

  21. Bhatla N, Berek JS, Cuello Fredes M, Denny LA, Grenman S, Karunaratne K, Natarajan J (2019) Revised FIGO staging for carcinoma of the cervix uteri. Int J Gynecol Obstet 145(1):129–135

    Article  Google Scholar 

  22. Stuebs FA, Schulmeyer CE, Mehlhorn G et al (2019) Accuracy of colposcopy-directed biopsy in detecting early cervical neoplasia: a retrospective study. Arch Gynecol Obstet 299:525–532. https://doi.org/10.1007/s00404-018-4953-8

    Article  PubMed  Google Scholar 

  23. Kim SI, Kim SJ, Suh DH, Kim K, No JH, Kim YB (2020) Pathologic discrepancies between colposcopy-directed biopsy and loop electrosurgical excision procedure of the uterine cervix in women with cytologic high-grade squamous intraepithelial lesions. J Gynecol Oncol 31(2):e13. https://doi.org/10.3802/jgo.2020.31.e13

    Article  PubMed  Google Scholar 

Download references

Funding

This study was not funded by any company.

Author information

Authors and Affiliations

Authors

Contributions

AM—project development, data collection, manuscript writing, management, data analysis. NS—data collection, data analysis, manuscript writing. BG—data collection, data analysis, Management. SM—data collection, data analysis. ZN—data collection, data analysis. NŠ—data collection, data analysis.

Corresponding author

Correspondence to Aljoša Mandić.

Ethics declarations

Conflict of interest

The authors report no conflict of interest.

Human/animals participants

This article does not contain any studies with human participants or animals performed by any of the authors.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Mandić, A., Stevanović, N., Gutic, B. et al. Histopathological correlation of cervical biopsy and tissue after excision in patients with precancerous lesions of the cervix. Arch Gynecol Obstet 304, 223–230 (2021). https://doi.org/10.1007/s00404-020-05911-w

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-020-05911-w

Keywords

Navigation