Diagnostic Value of Visual Examination of Cervical Polypoid Lesions and Predictors of Misdiagnosis

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dc.contributor.authorUcar, Mustafa Gazi
dc.contributor.authorIlhan, Tolgay Tuyan
dc.contributor.authorUcar, Rahime Merve
dc.contributor.authorKarabagli, Pinar
dc.contributor.authorCelik, Cetin
dc.date.accessioned2020-03-26T19:23:36Z
dc.date.available2020-03-26T19:23:36Z
dc.date.issued2016
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjectives This study reviews occasions when cervical polyps removed in an outpatient setting proved not to be cervical polyps histologically. We aimed to identify any anatomical and/or clinical characteristics that predict "incorrect diagnosis in general practice. Methods A retrospective study of consecutive 345 patients who were initially diagnosed with cervical polyps based on a routine gynecological examination in an outpatient setting was included. After histopathological examination, the patients were divided into 2 groups: those with cervical (correct diagnosis, n = 307) and falsely diagnosed with cervical polyps (FDP, n = 38). These 2 groups were compared in terms of age, signs and symptoms, and size of the polypoid lesions. Results The initial clinical diagnosis was correct in 307, giving a positive predictive value of 89%. There were no significant difference between the groups with respect to age of patients (p = 0.59) and the size of the lesions (p = 0.42). According to our study, among misdiagnosed patients, nabothian cysts and cervicitis were the most common histological findings; FDPs were more often symptomatic (p < 0.001) and coexisted more frequently with inflammation or ulceration (p < 0.001). All FDPs were developing within the endocervical canal. There were no instances of FDPs that arise from ectocervix. Symptomatic polypoids have a higher risk of preliminary misdiagnosis (OR = 13.0; 95% confidence interval, 3.0-55.1). Conclusions All cervical polypoid lesions must be sent to pathology because visual diagnosis is not sufficiently accurate to direct patient care.en_US
dc.identifier.doi10.1097/LGT.0000000000000254en_US
dc.identifier.endpage359en_US
dc.identifier.issn1089-2591en_US
dc.identifier.issn1526-0976en_US
dc.identifier.issue4en_US
dc.identifier.pmid27529156en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage356en_US
dc.identifier.urihttps://dx.doi.org/10.1097/LGT.0000000000000254
dc.identifier.urihttps://hdl.handle.net/20.500.12395/33446
dc.identifier.volume20en_US
dc.identifier.wosWOS:000385372600023en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLIPPINCOTT WILLIAMS & WILKINSen_US
dc.relation.ispartofJOURNAL OF LOWER GENITAL TRACT DISEASEen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectcervical diseaseen_US
dc.subjectcervical polypsen_US
dc.subjectclinical diagnosisen_US
dc.subjectpolypectomyen_US
dc.subjectfalse diagnosisen_US
dc.subjectoutpatient settingen_US
dc.titleDiagnostic Value of Visual Examination of Cervical Polypoid Lesions and Predictors of Misdiagnosisen_US
dc.typeArticleen_US

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