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Abnormal Vaginal Pap Test After Hysterectomy in Human Immunodeficiency Virus-Infected Women.

Abstract To evaluate the prevalence of abnormal vaginal cytology and vaginal intraepithelial neoplasia (VAIN) and vaginal cancer in human immunodeficiency virus (HIV)-infected women with no history of abnormal cytologic screening who had a hysterectomy for conditions other than cervical dysplasia and cancer; and to explore the risk factors associated with VAIN and vaginal cancer.
PMID
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Abnormal Vaginal Pap Test Results After Hysterectomy in Human Immunodeficiency Virus-Infected Women.

Authors

Mayor MeshTerms

Hysterectomy

Vaginal Smears

Keywords
Journal Title obstetrics and gynecology
Publication Year Start




PMID- 28469285
OWN - NLM
STAT- MEDLINE
DA  - 20170504
DCOM- 20170516
LR  - 20170516
IS  - 1873-233X (Electronic)
IS  - 0029-7844 (Linking)
VI  - 127
IP  - Suppl 1
DP  - 2016 May
TI  - Abnormal Vaginal Pap Test After Hysterectomy in Human Immunodeficiency
      Virus-Infected Women.
PG  - 4S
LID - 10.1097/01.AOG.0000483629.84944.db [doi]
AB  - OBJECTIVE: To evaluate the prevalence of abnormal vaginal cytology and vaginal
      intraepithelial neoplasia (VAIN) and vaginal cancer in human immunodeficiency
      virus (HIV)-infected women with no history of abnormal cytologic screening who
      had a hysterectomy for conditions other than cervical dysplasia and cancer; and
      to explore the risk factors associated with VAIN and vaginal cancer. METHODS: A
      retrospective cohort study was performed identifying 238 women between January
      2000 to January 2015 with a history of HIV, previous hysterectomy, and no
      previous abnormal Pap tests. Medical records from patients with both HIV and
      history of hysterectomy were reviewed from Thomas Street Health Center and
      Northwest Community Health Center. RESULTS: Among 238 women, 164(69%) had normal 
      Pap test results, 12(5%) had results showing atypical cells of undermined
      significance and human papillomavirus-positive, 55(23.1%) had results showing
      low-grade squamous intraepithelial lesion, and 7(2.9%) had results showing
      high-grade squamous intraepithelial lesion. No demographic risk factor was
      associated with abnormal Pap test after hysterectomy. Median follow-up time for
      the Pap test was 16 years. Of those who underwent vaginal biopsies for an
      abnormal Pap test, 15(28%) were normal, 23(43%) were VAIN1, 9(16%) were VAIN2,
      and 7(13%) were VAIN3. No patients had invasive vaginal cancer. CONCLUSION: Over 
      30% of HIV-infected women who had no pre-hysterectomy history of an abnormal Pap 
      test had abnormal vaginal Pap tests. Among those who had vaginal biopsies, 29%
      had VAIN2 or VAIN3, suggesting that Pap tests post-hysterectomy in the HIV
      population may be indicated.
FAU - Smeltzer, Stephanie
AU  - Smeltzer S
AD  - Baylor College of Medicine.
FAU - Yu, Xiaoying
AU  - Yu X
AD  - Baylor College of Medicine.
FAU - Schmeler, Kathleen
AU  - Schmeler K
AD  - MD Anderson Cancer Center.
FAU - Levison, Judy
AU  - Levison J
AD  - Baylor College of Medicine.
LA  - eng
GR  - P30 AI036211/AI/NIAID NIH HHS/United States
PT  - Journal Article
PL  - United States
TA  - Obstet Gynecol
JT  - Obstetrics and gynecology
JID - 0401101
SB  - AIM
SB  - IM
MH  - Carcinoma in Situ/*pathology
MH  - Female
MH  - HIV Infections/*complications
MH  - Humans
MH  - *Hysterectomy
MH  - Mass Screening
MH  - Retrospective Studies
MH  - Uterine Cervical Dysplasia/pathology
MH  - Uterine Cervical Neoplasms/pathology
MH  - Vagina/*pathology
MH  - Vaginal Neoplasms/complications/*pathology
MH  - *Vaginal Smears
PMC - PMC4879969
MID - NIHMS774100
EDAT- 2017/05/05 06:00
MHDA- 2017/05/17 06:00
CRDT- 2017/05/05 06:00
AID - 10.1097/01.AOG.0000483629.84944.db [doi]
PST - ppublish
SO  - Obstet Gynecol. 2016 May;127(Suppl 1):4S. doi:
      10.1097/01.AOG.0000483629.84944.db.

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