The Correlation Between Colposcopy and Pathology Results

Background & Objective: Cervical cancer is one of the most common cancers among women, and because of the origination from precancerous lesions, its mortality can be reduced by using appropriate screening methods and early detection. Materials & Methods: This cross-sectional study was done in 2021-2022 at the Colposcopy Clinic of Shahid Beheshti Hospital, Isfahan. Patient with abnormal Pap smear or positive HPV test was referred to be examined with colposcopy. The information and history of the patients were collected by the intern of the clinic in pre-prepared files, and after the examination of patient by a gynecology oncology specialist, colposcopy and biopsy was performed if necessary. Then, the results were compared. Results: For one year, 648 patients underwent colposcopy, and their mean age was 34.14 ± 8.88 years. Among them, 486 people had normal colposcopy (75.9%) and 154 people had suspicious colposcopy (24.1%) and underwent biopsy. The most complains among women were pain (40.6%), postcoital bleeding (38.7%), and vaginal discharge (30%), respectively. Conclusion: In the current study, according to the significant concordance of Acetowhite and Punctuation lesion with a precancerous and cancerous lesion, it can be concluded that the appearance of Acetowhite and Punctuation view in colposcopy is more likely to indicate a serious lesion. Also, the existence of two or three views in a patient together does not have more diagnostic value than one view for example Acetowhite or Punctuation alone.