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Detection of endocervical component by PAPNET ™ system on negative cervical smears
Author(s) -
Ashfaq R.,
Solares B.,
Saboorian M. H.
Publication year - 1996
Publication title -
diagnostic cytopathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.417
H-Index - 65
eISSN - 1097-0339
pISSN - 8755-1039
DOI - 10.1002/(sici)1097-0339(199608)15:2<121::aid-dc7>3.0.co;2-l
Subject(s) - medicine , endocervix , cytopathology , gynecology , pap smears , premalignant lesion , pathology , cytology , uterine cervix , cervical cancer , carcinoma , cancer
The presence of endocervical component (ECs) on cervical smears is considered essential for determining the adequacy of the Pap smear. The absence of an endocervical component in a negative smear suggests that a repeat Pap smear should be taken. We evaluated 635 manually screened negative cervical smears with a documented endocervical component. On PAPNET ™ review, these cases were scrutinized for endocervical cells, metaplastic squamous cells (MSQ), or both. One‐hundred and thirty‐eight cases (22%), adequate manually, showed no ECs or MSQs by PAPNET ™ . Twenty‐three additional cases with both Cs and MSQ on manual, showed only MSQ by PAPNET ™ , while another 30 cases (5%) with MSQ manually were totally missed by PAPNET ™ . The results of this analysis shows that the endocervical component (ECs, MSQ) is missed by PAPNET ™ in 27% of the cases. Without further improvement, this may pose the greatest deterrent for PAPNET ™ as a primary screening instrument. Diagn Cytopathol 1996;15:121–123. © 1996 Wiley‐Liss, Inc.