Digital colposcopy (Digitale colposcopie) Human papillomavirus (Humaan papillomavirus) Cervical Intraepithelial Neoplasia (CIN) (Cervicale Intraepitheliale Neoplasie (CIN))
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Female; 2. 18 years of age or older; 3. Intact cervix (no history of LEEP or surgical treatment involving damage to the transformation zone of the cervix); 4. Study group only: An abnormal cytological test result and/or positive hrHPV test; 5. Control group only: To be able to undergo a colposcopy (according to the gynecologist); 6. Sufficient knowledge of the Dutch or English language; 7. Able to understand the content of the study (according to the gynecologist); 8. Signed informed consent form.
Exclusion criteria
Exclusion criteria: 1. History of surgery on the cervix; 2. Previous pelvic radiotherapy; 3. Pregnancy or pregnant in the last 3 months; 4. Breast-feeding, or breast-feeding in the last 3 months; 5. Heavy bleeding (menstruation or other) or excessive vaginal discharge in which a colposcopy cannot be performed. Enrolment in the study protocol will be postponed until the condition is resolved according to the gynecologist’s medical judgment; 6. Self-referring women without an abnormal smear.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary endpoint: Consensus in DySIS colposcopic and conventional colposcopic impression of a lesion and histology (‘golden standard’). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints: 1. Consensus in DySIS colposcopic and conventional colposcopic localization of the optimal biopsy point and histology (‘golden standard’). 2. Consensus of DySIS colposcopic and conventional colposcopic impression of a lesion and HPV GP5+/6+ PCR testing and hybrid capture. 3. Higher HPV viral load by a larger, hrHPV positive, lesion (through (semi-)quantitative, real-time PCR-based viral load assessment). 4. A relation between p16INK4a and the size of the lesion. 5. A relation between viral load and hrHPV antibody titers. | — |
Contacts
VU medisch centrum Postbus 7057