Endocervical glandular involvement is associated with high-grade SIL

Chandandeep S. Nagi, Peter W. Schlosshauer

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Objective.: To examine whether endocervical glandular involvement (EGI) by squamous intraepithelial lesions (SIL) is associated with the grade of the squamous lesion and to assess the usefulness of such association for diagnostic purposes. Methods.: Histologic sections from two hundred successive cases of cervical SIL were reviewed retrospectively from the archives of the Department of Pathology of a tertiary care medical center. Results.: Nine of 93 (9.7%) low-grade lesions and 41 of 107 (38.3%) high-grade lesions showed glandular involvement (P = 0.001, Chi-squared test). The relative risk of having EGI in high-grade lesions as compared to low-grade lesions was 3.95. Conclusion.: EGI is seen approximately four times more frequently in high-grade SIL than in low-grade SIL. Therefore, in cases that are difficult to grade, the presence of EGI is in favor of the lesion being a high-grade SIL.

Original languageEnglish
Pages (from-to)240-243
Number of pages4
JournalGynecologic Oncology
Volume102
Issue number2
DOIs
StatePublished - Aug 2006

Keywords

  • CIN
  • Cervical dysplasia
  • Endocervical glands
  • Grading
  • SIL

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