VALUE OF REPEAT CERVICAL SMEARS AT THE TIME OF COLPOSCOPIC BIOPSY

被引：16

作者：

YOUNG, NA

NARYSHKIN, S

BOWMAN, RL

机构：

[1] Department of Pathology and Laboratory Medicine, Hahnemann University Hospital, Philadelphia, Pennsylvania

[2] Department of Pathology, Mercy Hospital, Janesville, Wisconsin

来源：

DIAGNOSTIC CYTOPATHOLOGY | 1993年 / 9卷 / 06期

关键词：

CERVIX; DYSPLASIA; COLPOSCOPY; PAP SMEAR;

D O I：

10.1002/dc.2840090608

中图分类号：

R446 [实验室诊断]; R-33 [实验医学、医学实验];

学科分类号：

1001 ;

摘要：

At our institution, gynecologists perform Pap smears not only as an initial screening procedure but also at the time of colposcopy and biopsy. We compared the results of initial Papanicolaou (Pap) smears with those taken at colposcopic biopsy to determine if repeating the Pap smear at the time of colposcopy contributed to patient management. We found that repeat colposcopic smears often agreed with the referral smears and biopsies. When there was disagreement, the colposcopic smear was more often a lower grade than the referral smear and correlated best with the biopsy. Both referral and colposcopic smears underestimated the severity of cervical lesions with the same frequency. We could document only 5/414 (1.2%) colposcopic smears that contributed to patient care. (C) 1993 Wiley-Liss, Inc.

引用

页码：646 / 649

页数：4

共 16 条

[1]

Giuntoli RL, Atkinson BF, Ernst CS, Rubin MM, Egan VS, Atkinson's correlative atlas of colposcopy, cytology, and histopathology, (1987)

[2]

Lozowski MS, Mishriki Y, Talebian F, Solitaire G, Cytology and colposcopy in enhancing diagnostic accuracy in preclinical lesions of the uterine cervix, Acta Cytol, 26, pp. 285-291, (1982)

[3]

Griffiths M, Turner MJ, Partington CK, Soutter WP, Should smears in a colposcopy clinic be taken after the application of acetic acid?, Acta Cytol, 33, pp. 324-326, (1989)

[4]

Paavonen J, Kiviat NB, Wolner-Hanssen P, Et al., Significance of mild cervical cytologic atypia in a sexually transmitted disease clinic population, Acta Cytol, 33, pp. 831-838, (1989)

[5]

Miller AB, Anderson G, Brisson J, Et al., Report of a national workshop on screening for cancer of the cervix, Can Med Assoc J, 145, pp. 1301-1325, (1991)

[6]

Cruikshand DP, Kaminsky DB, Ekbladh LEV, Colposcopic evaluation of cervical intraepithelial neoplasia, J Reprod Med, 17, pp. 327-330, (1976)

[7]

Joseph MG, Cragg F, Wright VC, Kontozoglou TE, Downing P, Marks FR, Cyto‐histological correlates in a colposcopic clinic: A 1‐year prospective study, Diagn Cytopathol, 7, pp. 477-481, (1991)

[8]

Luthy DA, Briggs RM, Buyco A, Eschenbach DA, Cervical cytology. Increased sensitivity with a second cervical smear, Obstet Gynecol, 51, pp. 713-717, (1978)

[9]

Figge DC, Bennington JL, Schweid AI, Cervical cancer after initial negative and atypical vaginal cytology, Amer J Obstet Gynecol, 108, pp. 422-428, (1970)

[10]

Wheelock JB, Kaminski PF, Value of repeat cytology at the time of colposcopy for the evaluation of cervical intraepithelial neoplasia on Papanicolaou smears, J Reprod Med, 34, pp. 815-817, (1989)

← 1 2 →