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Should the Cytobrush® be used in routine screening for cervical pathology?
Author(s) -
van Erp E.J.M.,
DersjantRoorda M.C.,
Arentz N.P.W.,
Stijnen Th.,
Trimbos J.B.
Publication year - 1989
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(89)90308-1
Subject(s) - medicine , papanicolaou stain , cytology , dysplasia , bethesda system , gynecology , pathology , cervical cancer , cancer
In 632 women visiting a family planning clinic, paired cervical smears were taken using a wooden spatula and a Cytobrush R . Of the spatula smears 7.8% were unreliable with too little or scanty material to allow a cytologic diagnosis (class 0); 17.7% of spatula smears were inadequate, lacking endocervical cells. Combined spatula/Cytobrush R cytology reduced these figures significantly; 4.3% unreliable smears and 3.2% inadequate specimens. Seventy‐three (11.6%) of the smears revealed some abnormality, in most cases Papanicolaou class IIIA, suggestive of mild dysplasia. In 10 cases, dysplastic cells were found only in the Cytobrush R cytology. It is concluded that the Cytobrush R adds to the improvement of smear quality and the accuracy of routine cervical cytology obtained by relatively inexperienced smear takers.