Features of colposcopy in patients with various forms of pulmonary tuberculosis

According to the World Health Organization, the main health threats for women aged 15-49 are tuberculosis (TB) and HIV. Over the past few decades, there has been a trend towards an increase in the incidence of dysplasia and cervical cancer in women infected with TB. <bold>The aim</bold> is to study the pathological changes in the cervix in patients with pulmonary TB. <bold>Study method.</bold> The study included 60 women with pulmonary TB, who underwent simple and extended colposcopy in the conditions of a TB dispensary in Tashkent, Uzbekistan. <bold>Study result.</bold> The distribution of patients according to the type of the specific process in the lungs is presented in the chart. <fig><object-id>erj;64/suppl_68/PA5050/F1</object-id><object-id>F1</object-id><object-id>F1</object-id><graphic></graphic></fig> Cervicitis, ectopia, ectropion, ovulae nabothii, polyps and condylomas were presented as colposcopy results. For 8 (13.3%) patients cervical pathology was not identified. The frequency of detected pathological changes in the cervix during colposcopy (n=52), depending on the TB process in the lungs is presented in the table. <table-wrap><object-id>erj;64/suppl_68/PA5050/T1</object-id><object-id>T1</object-id><object-id>t1</object-id><table><colgroup><col></col><col></col></colgroup><tbody><tr><td><bold>TB process in the lungs</bold></td><td><bold>Frequency of detected changes</bold></td></tr><tr><td>Focal TB</td><td>19.2%</td></tr><tr><td>Infiltrative TB</td><td>46.2%</td></tr><tr><td>Disseminated TB</td><td>15.4%</td></tr><tr><td>Cavernous TB</td><td>7.7%</td></tr><tr><td>Fibrous-cavernous TB</td><td>11.5%</td></tr></tbody></table></table-wrap> <bold>Conclusion.</bold> More frequent detection of pathology during colposcopy in patients with infiltrative TB is most likely to develop a pronounced intoxication syndrome, predominance of exudation, more pronounced suppression of the immune system and may possibly act as a trigger for neoplastic processes of the cervix.

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