ASCUS: comparative follow-up results related to previous SIL diagnosis

The clinical significance of ASCUS (atypical squamous cells of undetermined significance) remains undetermined. In a variety of cases, it is possible to identify an underlying neoplastic squamous lesion. With;he aim of establ ishing some rationale basis for management, we have evaluated the history a nd the follow-up of 137 woman diagnosed with ASCUS. These woman were distri buted into two groups, with or without history of SIL (30 and 107 woman, re spectively); 38 woman did not come to the control. In general, the rate was 30.3% for low grade SV. (squamous intraepithelial lesions) and 6.1% for hi gh grade SIL. In both groups the rate of low and high grade SIL was similar . Ln our opinion, women that are diagnosed with ASCUS must be submitted to colposcopic exams independently of their history.