ArticleInfectious agents and cancer2015
A prospective randomized study on limits of colposcopy and histology: the skill of colposcopist and colposcopy-guided biopsy in diagnosis of cervical intraepithelial lesions.
Article in Infectious agents and cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 21 citations in OpenAlex.
- Review
- Attenuated total reflection Fourier transform infrared spectroscopy enables determination of the extent of precancer in cervical conization biopsy.Scientific reports · 2026Article
- Diagnostic utility of cell block preparations from liquid-based cytology in cervical lesions: A comparative retrospective analysis.CytoJournal · 2025Article
- Development and validation of artificial intelligence-based analysis software to support screening system of cervical intraepithelial neoplasia.Scientific reports · 2024Article
- Pathological Changes and Pregnancy Outcomes in Cervical Intraepithelial Neoplasia Patients After Cold Knife Conization.International journal of general medicine · 2024Article
- Colposcopy Accuracy and Diagnostic Performance: A Quality Control and Quality Assurance Survey in Italian Tertiary-Level Teaching and Academic Institutions-The Italian Society of Colposcopy and Cervico-Vaginal Pathology (SICPCV).Diagnostics (Basel, Switzerland) · 2023Article
- Accuracy of colposcopy in the Swedish screening program.Acta obstetricia et gynecologica Scandinavica · 2023Article
- Clinical performance of primary HPV screening cut-off for colposcopy referrals in HPV-vaccinated cohort: Observational study.BJOG : an international journal of obstetrics and gynaecology · 2023Observational
- Comparison of accuracy and reproducibility of colposcopic impression based on a single image versus a two-minute time series of colposcopic images.Gynecologic oncology · 2022Article
- Development of a prognostic prediction support system for cervical intraepithelial neoplasia using artificial intelligence-based diagnosis.Journal of gynecologic oncology · 2022Article
- The Performance of Artificial Intelligence in Cervical Colposcopy: A Retrospective Data Analysis.Journal of oncology · 2022Article
- Value of multi-quadrants biopsy: Pooled analysis of 11 population-based cervical cancer screening studies.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2020Article
- MiRNA detection in cervical exfoliated cells for missed high-grade lesions in women with LSIL/CIN1 diagnosis after colposcopy-guided biopsy.BMC cancer · 2019Article
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe main objective of our study was to evaluate the colposcopist ability to correctly identify the worst area of a cervical lesion where biopsy should be performed; the secondary objective was to investigate the influence of the colposcopist skill in grading cervical preneoplastic lesions.
methods296 patients referred for colposcopy were enrolled in a prospective study. All patients were randomized in two groups: in the first group, "senior group", the colposcopy was performed by an experienced colposcopist; in the second group, "junior group", the colposcopy was performed by a less experienced colposcopist. A detailed colposcopic description, including a grading of the lesion, was completed for each case. During the colposcopic exam patients underwent two direct biopsies; each biopsy was labeled with letter A (suspicious area with most severe grade) or B (suspicious area with less severe grade) according to the judgment of the colposcopist. An experienced pathologist reanalyzed the histological slides, after routine diagnosis.
resultsThe senior group identify the worst area of the cervical lesion in statistical significant higher rates than junior group. Specimen A resulted representative of the higher-grade lesion (A > B) in 73.7 % (N = 28) in senior group and in 48.4 % (N = 15) in junior group; while in 26.3 % (N = 10) the higher-grade lesion corresponded to specimen B (A < B) in senior group and in 51.6 % (N = 16) in junior group (p < .05).
conclusionThe ability of a colposcopist in grading cervical lesion depends on his experience.
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