Low‐grade squamous intraepithelial lesions: Cytologic predictors of biopsy Confirmation
作者:
Scott Hall,
T. C. Wu,
Naél Soudi,
Mark E. Sherman,
期刊:
Diagnostic Cytopathology
(WILEY Available online 1994)
卷期:
Volume 10,
issue 1
页码: 3-9
ISSN:8755-1039
年代: 1994
DOI:10.1002/dc.2840100103
出版商: Wiley Subscription Services, Inc., A Wiley Company
关键词: Cervix;Cytology;Colposcopy;The Bethesda System;Squamous intraepithelial lesion;Cervical intraepithelial neoplasia;Cervical carcinoma;Human papillomavirus;Condyloma;In situ hybridization
数据来源: WILEY
摘要:
AbstractOne hundred and seven smears demonstrating a low‐grade squamous intraepithelial lesion (LSIL) were analyzed for features predicting subsequent biopsy confirmation. Twelve (29%) of 41 smears showing few LSIL cells were biopsy confirmed compared to 33 (60%) of 55 containing an intermediate number of LSIL cells and 9 (82%) of 11 displaying many LSIL cells (P<0.002). Thirty‐seven (47%) of 78 smears showing mainly condylomatous atypia (CA), 7 (54%) of 13 revealing predominantly cervical intraepithelial neoplasia 1 (CIN 1), and 10 (63%) of 16 displaying both CA and CIN 1 were histologically confirmed (N.S.). Biopsy confirmation was obtained in 35 (65%) of 54 women whose repeat smears obtained at colposcopy demonstrated SIL compared to four (15%) of 26 patients whose repeat smears were normal or contained atypical squamous cells of undetermined significance (P<0.001). These results suggest that the number of diagnostic cells in an LSIL smear predicts biopsy confirmation and affirm the validity of combining CA and CIN 1 under the category of LSIL in the Bethesda System. © 1994 Wiley‐Lis
点击下载:
PDF
(720KB)
返 回