Correlación colposcópica e histopatológica en pacientes con lesiones intraepiteliales de bajo y alto grado que fueron atendidos en la consulta externa de Ginecología y Obstetricia del Hospital Naval Guayaquil en el periodo 2021- 2022.

Abstract

This research highlights the importance of the human papillomavirus (HPV) as a causal agent of premalignant lesions and cervical cancer. Early diagnosis of cellular alterations suggestive of HPV is crucial and is carried out through cervical cytology (Pap smear) and colposcopy. However, the definitive diagnosis of cervical dysplasia is made through histology. In this context, the present study aims to determine the colposcopic and histological correlation in patients with LSIL/HSIL treated in the outpatient gynecology and obstetrics department of Naval Hospital Guayaquil during the period 2021-2022. The studied patients were between 23 and 79 years old, with a mean age of 41.33 years. The most frequent age group was between 31 and 40 years. The onset of sexual activity was more common between 16 and 21 years old. The most common number of sexual partners was 1 to 5. The colpo-histological correlation indicated that most patients with grade 1 colposcopy findings presented lowgrade intraepithelial lesions (LIE-BG) in histology. On the other hand, for patients with grade 2 colposcopy results, there were significant correlations with highgrade intraepithelial lesions (LIE-AG) and squamous cell carcinoma in histology. It is recommended to consider additional variables and conduct long-term followups to assess the progression of the lesions. Furthermore, increasing the size and diversity of the sample can enhance the representativeness of the results.