Cervical dysplasia in a large, predominantly black practice as diagnosed by colposcopy in patients with normal and class II Papanicolaou smears.
Six hundred eighty-four patients were colposcoped over a one-and-one-half-year period. These patients ranged in age from 18 to 42 years. Parity ranged from zero to five. Cytology ranged from normal (class I) to class II Papanicolaou smears. Eighty-five patients were found to have cervical dysplasia, giving an overall picture of 12.4%. Of these 85, 8 had carcinoma in situ, 1 had microinvasive disease, and 1 had frankly invasive disease. The aim of this study was to show the frequency of dysplasia in a high-risk black population that would have been missed if cytology alone were the diagnostic tool.