ISSN:0956-5507    

DOI:10.1046/j.1365-2303.1996.43382433.x

出版商:Blackwell Science    

年代:1996

数据来源: WILEY

摘要:

In 1991, the average total Health Service cost of a cervical smear, including follow up at the colposcopy clinic, was almost £22.70 in the Perth and Kinross district of Scotland. The average cost per colposcopy clinic visit was £30. The main cost elements were in general practice (55% of total) and the laboratory (33%), and most of the cost was for staff tim

ISSN:0956-5507    

DOI:10.1046/j.1365-2303.1996.39982399.x

出版商:Blackwell Science    

年代:1996

数据来源: WILEY

摘要:

A reduction in screening interval from 5 years to 3 years would greatly increase the cost of the programme, but would save few extra lives. The cost per life saved would be around £250 000 at 1995 prices, or around £8000 per life per year saved. There would in addition be human costs for the women screened. The opportunity cost of reducing the interval may be too great, since it is likely that the Health Service would achieve greater health benefits by investing the funds in other health care activit

ISSN:0956-5507    

DOI:10.1046/j.1365-2303.1996.40082400.x

出版商:Blackwell Science    

年代:1996

数据来源: WILEY

摘要:

A population‐based cervical screening programme issued invitations to women with no record of a previous smear. This call was very good value, at £5780 per life saved or £159 per life‐year saved at 1991 prices. The first priority for the cervical screening service should be comprehensive cov

ISSN:0956-5507    

DOI:10.1046/j.1365-2303.1996.40182401.x

出版商:Blackwell Science    

年代:1996

数据来源: WILEY

摘要:

The chromatin pattern of retrospectively Feulgen–Schiff‐stained exfoliative urothelial cells was determined by computer‐assisted analysis for 12 detailed texture image parameters. These were compared with density parameters and geometric parameters for their ability to discriminate between benign and malignant samples. The discriminatory power of the mean variable of the texture parameter sum variance was found to equal that of densitometric parameters which reflect the nuclear DNA content of the cell. The results suggest that determination of the texture parameter sum variance is valuable in distinguishing nuclei of specimens negative from those positive for malig

ISSN:0956-5507    

DOI:10.1046/j.1365-2303.1996.40682406.x

出版商:Blackwell Science    

年代:1996

数据来源: WILEY

摘要:

FNA continues to play an important role in the management of patients with breast lesions. However, the reliability and efficiency of the FNA service depends heavily on the quality of the specimens. We have audited the rate of ‘inadequate FNAs’ at intervals over the last 5 years and related our findings to the clinical expertise of the aspirator. We have also correlated the rate of inadequate FNAs with the percentage of patients who had an FNA preceding a definitive diagnosis of cancer. We report trends in the rate of inadequate samples, and subsequent diagnosis of cancer, over a 5‐year period. The percentage of breast FNA samples reported as inadequate was 46.8% in 1988–89, falling to 20% in 1991–92 with the introduction of an FNA clinic, and rising to 30.6% in 1993. The rates of cancer following inadequate FNA were 15.7%, 16.1% and 4.2%, respectively, and the percentage of patients with cancer having a preceding inadequate FNA were 37.5%, 13.2% and 7.1%. Possible explanations for the apparent paradox between increasing numbers of inadequate FNA specimens and a falling breast cancer rate are

ISSN:0956-5507    

DOI:10.1046/j.1365-2303.1996.40782407.x

出版商:Blackwell Science    

年代:1996

数据来源: WILEY

摘要:

Review of 143 gastric brushing specimens from two centres in patients with a subsequent histological diagnosis on biopsy or gastrectomy specimens revealed filamentous organisms (FOs) in a large number of benign and malignant gastric brushings. The presence of FOs in significant numbers of brushings of benign gastric lesions contradicts the previously reported strong association of FOs with only gastric carcinoma, and questions the importance of finding these organisms in gastric brushing and biopsy material.

ISSN:0956-5507    

DOI:10.1046/j.1365-2303.1996.41182411.x

出版商:Blackwell Science    

年代:1996

数据来源: WILEY

ISSN:0956-5507    

DOI:10.1046/j.1365-2303.1996.38482384.x

出版商:Blackwell Science    

年代:1996

数据来源: WILEY

ISSN:0956-5507    

DOI:10.1046/j.1365-2303.1996.40482404.x

出版商:Blackwell Science    

年代:1996

数据来源: WILEY

ISSN:0956-5507    

DOI:10.1046/j.1365-2303.1996.4221824221.x

出版商:Blackwell Science    

年代:1996

数据来源: WILEY