Cytologic Differential Diagnostic Problems in Ulcerative Cervicitis
Objective: To improve the detection rates in the determination of signs consistent with ulcerative cervicitis against signs of intraepithelial neoplasia, in PAP smears. Study design: We investigated the frequency of establishing a diagnosis of a simple ulcerative cervicitis by histology in a cohort...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karolinum Press
2004-01-01
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| Series: | Acta Medica |
| Subjects: | |
| Online Access: | https://actamedica.lfhk.cuni.cz/online_first/18059694.2018.65/ |
| Summary: | Objective: To improve the detection rates in the determination of signs consistent with ulcerative cervicitis against signs of intraepithelial neoplasia, in PAP smears. Study design: We investigated the frequency of establishing a diagnosis of a simple ulcerative cervicitis by histology in a cohort of 58 females with cervical cytology suggestive of intraepithelial neoplasia. Results: There was found a detection rate of 81.58% in the determination of ulcerative cervicitis by cytology and a rate of 100% in the determination of HPV-infection, CIN1, CIN2 and CIN3 respectively. There was no statistically significant difference between cytology and histology in the diagnosis of ultracerative cervicitis (p>0.5, chi-square). Conclusions: There is an overestimation of the cytological signs in the diagnosis of ulcerative cervicitis 18.42 %). There is also an excellent agreement in the diagnosis of HPV-infection and CIN grades (100 %) between cytology and histology, discordant with the literature (2.4 %–71 %). |
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| ISSN: | 1211-4286 1805-9694 |