Clinical Performance of HPV DNA and HPV RNA Assays for the Detection of High-Grade Cervical Lesions
The aim of this study was to evaluate the clinical performance of 2 DNA-based assays (DNA-xGT, DNA-lGT) and 1 RNA-based assay (mRNA), using specimens from women with cervical carcinoma or high-grade cervical lesions (≥CIN3).
Follow-up of Women Testing Positive for Human Papillomavirus Non-16/18 With Normal Cytology in a Screening Context
The aim of the study was to evaluate the risk for cervical intraepithelial neoplasia II (CIN 2) or worse associated with high-risk (HR) non-16/18 human papillomavirus (HPV) types among women with normal cytology in a screening context.
Automating the Detection of Acetowhite Lesions by Classifying the Temporal Behavior of Cervical Regions
Cervical acetowhitening is a strong visual cue for lesion identification; however, clinician opinions are subjective and inconsistent. To provide objective evaluation, a machine learning model that enhances colposcopy by automating acetowhite lesion detection in cervical time-series images was developed.
Interobserver Variation in Vulvar Squamous Cell Cancer Depth of Invasion Using Two Measurement Methods
Depth of invasion (DOI) in vulvar squamous cell carcinoma (vSCC) predicts risk of nodal metastasis, with measurement >1 mm dictating the need for lymph node diagnostic procedures. In 2021, the International Federation of Gynecology and Obstetrics (FIGO) changed its advice on how pathologists measure DOI. Some organizations revised guidelines to this "New" method; others continued to endorse the FIGO 2009 "Old" method. This study compares interobserver variation of vSCC DOI using Old and New FIGO measurement strategies.
Consensus on Quality Standards for Colposcopy and Colposcopy Training From the Latin-American Federation of Lower Genital Tract Pathology and Colposcopy
The aim of the study was to provide recommendations on quality standards for colposcopy and colposcopy training.
High-Risk Human Papillomavirus Positive-Negative-Positive Infection Pattern Revealed Infection Below the Screening Test Cutoff
The aim of this study was to characterize human papillomavirus (HPV) using a highly sensitive genotyping test on smears collected longitudinally that showed a positive-negative-positive infection pattern with a screening test.
Improving Vulvar Self-examination Performance in a Population at Increased Risk of Vulvar Cancer
The aim of the study was to evaluate if a teaching session and optional reminders improved frequency of performance of vulvar self-examination (VSE) in a population at increased risk of vulvar cancer.
Potential Association Between Lichen Sclerosus and Breast Cancer: A Cross-sectional Study in All of Us Research Program
Dynamic Spectral Imaging and Regular Colposcopy in CIN2+ Detection for HPV-Positive and/or Low-Grade Cytology Referrals
Dynamic Spectral Imaging colposcopy (DSI), an AI-driven technology, may improve cervical cancer diagnostics. This study aimed to evaluate the cervical intraepithelial neoplasia grade 2 or worse (CIN2+) sensitivity of DSI compared to regular colposcopy in individuals referred due to human papillomavirus (HPV)-positive and/or low-grade cytology.
Effects of Adherence to Colposcopy Guidelines on the Detection of Cervical Intraepithelial Neoplasia
Practice recommendations for the minimum steps to perform a colposcopy were published in 2017. The goals of this study are to assess if adherence to these guidelines correlates with detection of cervical intraepithelial neoplasia and to analyze factors associated with rates of biopsy during colposcopy.
Apremilast Versus Placebo for Genital Erosive Lichen Planus in Women: A Randomized Controlled Trial
We set out to evaluate the efficacy and safety of phosphodiesterase-4 inhibitor apremilast for moderate-to-severe genital erosive lichen planus (GELP) in women.
Immunocompetency Status and Its Association With Multicentric Lower Anogenital Tract Dysplasia
Multicentric, human papillomavirus (HPV) associated lower genital tract disease includes preinvasive and invasive lesions at multiple anatomic sites and can be synchronous or metachronous. Identifying patients with multicentric disease is crucial because of associated high treatment failure and recurrence. This study evaluates clinicopathologic patterns in immunocompetent and immunocompromised patients with multicentric lower anogenital disease.
Patterns of Intravaginal Boric Acid and Probiotics Use Among Patients With Chronic Vulvovaginal Symptoms
To assess the use of boric acid and probiotics among patients treated at a tertiary care vulvovaginal health center.
Longitudinal Testing of Anal Cytology and Human Papillomavirus in Females With Lower Genital Tract Dysplasia or Cancer
This study aimed to determine the prevalence of anal dysplasia in women who had anal high-risk human papillomavirus (HR-HPV) and/or abnormal cytology in 2012-2014.
Feasibility and Acceptability of Human Papillomavirus Based Self-sampling in Underserved Minorities in the United States: A Scoping Review
The aim of the review evaluates the feasibility and acceptability of human papillomavirus (HPV) self-sampling in underscreened communities to increase cervical cancer screening rates in the United States.
Expertise in Gynecological Pathology Impacts Diagnosis of Atypical Glandular Cell Category in Cervical Cytology
The Pap test is effective for detecting squamous neoplasia, but the interpretation of atypical glandular cell (AGC) remains challenging because of its rarity, complex cytologic features, and interobserver variability. Although AGC represents a small proportion of Pap test diagnoses, it often leads to extensive follow-up. This study aimed to assess whether gynecologic pathology expertise improves diagnostic accuracy and reduces unnecessary interventions in AGC interpretation.
An eDelphi Consensus on Key Questions for a Vulvar Health Clinic Intake Questionnaire
Vulvar health conditions such as lichen sclerosus and vulvodynia are often misdiagnosed or delayed in diagnosis, leading to worsened clinical outcomes. A standardized intake questionnaire for the initial patient visit could improve early detection and management of these complex conditions. This study aimed to develop a consensus-based standardized intake questionnaire for vulvar health clinics using the eDelphi methodology.
General Versus Local Anesthesia in Loop Electrosurgical Excision Procedures: A Systematic Review and Meta-Analysis
Loop electrosurgical excision (LEEP) is the standard of care for high-grade cervical intraepithelial neoplasia. The primary aim of this study was to compare patient-reported outcomes among patients who received local anesthesia (LA) during LEEP with those who received GA.
The Role of Cervical or Vaginal HPV Testing in Surveillance of Vulvar, Vaginal, and Anal HPV-Associated Neoplasia
The study aims are to evaluate the utility of cervical or vaginal human papillomavirus (HPV) status in predicting recurrence of noncervix lower genital tract (LGT) high-grade squamous intraepithelial lesion (HSIL), assess factors associated with HPV positivity, and explore patterns of HSIL surveillance.
Factors Associated With Timely Receipt of Colposcopy After Abnormal Cervical Cancer Screening
The aim of the study was to examine factors associated with timely colposcopy following abnormal cervical cancer screening among patients receiving care at an urban safety-net obstetrics and gynecology clinic.
Clinical Prediction Model for Anal High-Grade Squamous Intraepithelial Lesions Risk
Timely treatment of anal high-grade intraepithelial lesions (HSIL) prevents progression to anal cancer. Available screening tools (anal Pap test and high-risk human papillomavirus testing) have inconsistent and suboptimal performance, often leading to overreferral to high-resolution anoscopy, the gold standard test for HSIL diagnosis. We aimed to develop and externally validate a clinical prediction model for histologic HSIL to improve triage to high-resolution anoscopy among individuals at increased risk for anal cancer.
