Fanghänel M
Zentralbl Gynakol. 1981;103(24):1537-48.
Described in this paper is the phenomenon of "suspicious" colposcopic findings and their histomorphological relevance, with reference being made to colpophotographic follow-up checks of pregnant women over several years. Colposcopy has been upgraded, in recent time, and it is against this background that its potential efficacy and limitations are assessed and compared to cytological techniques, on the basis of "suspicious" colposcopic findings. A general assessment also is made of the diagnostic expectations which can be hinged on either method of tracing. Twenty in 450 cases of carcinoma in situ and severe dysplasia were combined with processes of pregnancy, between 1962 and 1979, among them four cases which had been under colposcopic and cytological monitoring. In two of these cases constant behaviour of the epithelium was established up to postpartal or postabortal confirmation by cytograms, while the other two cases were thought to be attributable to gestational developments, with tissue being suspicious or progressive growth.
本文描述了“可疑”阴道镜检查结果的现象及其组织形态学相关性,并参考了多年来对孕妇的阴道镜摄影随访检查。近年来,阴道镜检查技术有所升级,正是在此背景下,基于“可疑”阴道镜检查结果,评估并比较了其潜在疗效和局限性与细胞学技术。同时,还对可依赖这两种追踪方法的诊断预期进行了总体评估。在1962年至1979年间,450例原位癌和重度发育异常病例中有20例合并妊娠过程,其中4例接受了阴道镜和细胞学监测。在其中2例中,通过细胞学检查证实,直至产后或流产后,上皮细胞行为保持恒定,而另外2例则被认为归因于妊娠进展,组织存在可疑或进行性生长。