{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T15:51:11Z","timestamp":1784562671572,"version":"3.55.0"},"reference-count":28,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"02","license":[{"start":{"date-parts":[[2022,2,25]],"date-time":"2022-02-25T00:00:00Z","timestamp":1645747200000},"content-version":"vor","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003To determine the accuracy of colposcopy findings in diagnosing cervical intraepithelial neoplasia (CIN) in women with an atypical squamous cells, cannot exclude high-grade squamous intraepithelial lesion (ASC-H) pap smear result and analyze whether the prevalence of HSIL and cancer correlates with sociodemographic risk factors and specific colposcopic findings.<\/jats:p><jats:p>\n          Methods\u2003Colposcopic findings and sociodemographic risk factors were analyzed as possible predictors of a CIN 2 or worse diagnosis in women with an ASC-H pap smear result.<\/jats:p><jats:p>\n          Results\u2003Accuracy of the colposcopic impression was 92%, sensitivity was 91.6%, and specificity was 93.1%, with a positive predictive value of 96.4% and negative predictive value of 84.3%. Diagnosis of CIN 2 or worse was more frequent in patients with a previous history of cervical dysplasia and pre-menopausal patients. Identification of major colposcopic findings, dense acetowhite epithelium, coarse mosaicism, and punctuation correlated significantly with CIN 2 or worse.<\/jats:p><jats:p>\n          Conclusion\u2003Colposcopy performed by an experienced examiner can accurately differentiate patients with CIN 1 or less from patients with CIN 2 or worse. Diagnosis of CIN 2 or worse was more frequent in patients with a previous history of cervical dysplasia and pre-menopausal patients. The degree of acetowhite changes was the best colposcopic feature to predict CIN2 or worse.<\/jats:p>","DOI":"10.1055\/s-0042-1742289","type":"journal-article","created":{"date-parts":[[2022,2,25]],"date-time":"2022-02-25T23:54:58Z","timestamp":1645833298000},"page":"178-186","source":"Crossref","is-referenced-by-count":6,"title":["Colposcopic Findings and Diagnosis in Low-Income Brazilian Women with ASC-H pap Smear Results"],"prefix":"10.61622","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8715-7470","authenticated-orcid":false,"given":"Cibele Feroldi","family":"Maffini","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Clinics Hospital of the University of Paran\u00e1, Curitiba, PR, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3215-1650","authenticated-orcid":false,"given":"Luiz Martins","family":"Colla\u00e7o","sequence":"additional","affiliation":[{"name":"Department of Pathology of Clinics Hospital of the University of Paran\u00e1, Curitiba, PR, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2993-577X","authenticated-orcid":false,"given":"Ana Paula Martins","family":"Sebasti\u00e3o","sequence":"additional","affiliation":[{"name":"Department of Pathology of Clinics Hospital of the University of Paran\u00e1, Curitiba, PR, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9210-2925","authenticated-orcid":false,"given":"Rita Maira","family":"Zanine","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Lower Genital Tract Disease and Colposcopy Sector, Clinics Hospital of the University of Paran\u00e1, Curitiba, PR, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2022,2,25]]},"reference":[{"issue":"16","key":"ref1","doi-asserted-by":"publisher","first-page":"2114","DOI":"10.1001\/jama.287.16.2114","article-title":"The 2001 Bethesda System: terminology for reporting results of cervical cytology","volume":"287","author":"D Solomon","year":"2002","journal-title":"JAMA"},{"key":"ref2","volume-title":"Minist\u00e9rio da Sa\u00fade. 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