Abstract
Between 1980 and 1984, 406 patients were referred to Tripler Army Medical Center's cervical clinic for the evaluation of atypical squamous cells in a Papanicolaou smear. Their evaluation included repeating the smear, colposcopy in all cases, colposcopically directed biopsies, and/or endocervical curettage in 70%. The results of the repeat Papanicolaou smear in 400 patients were 274 (68.5%) negative, 77 (19%) atypical squamous cells, 40 (10%) cervical intraepithelial neoplasia (CIN) 1, seven (2%) CIN 2, and two (0.5%) CIN 3. No invasive cancer was detected. Dysplasia was documented histopathologically in 18.7%, but a repeat smear was reported as negative in 10.9% of patients with biopsyproven dysplasia. A Papanicolaou smear report of atypical squamous cells should not be considered normal, and further evaluation of the patient is required. If colposcopy is impractical, serial follow-up smears are recommended.
| Original language | English |
|---|---|
| Pages (from-to) | 43-46 |
| Number of pages | 4 |
| Journal | Obstetrics and Gynecology |
| Volume | 69 |
| Issue number | 1 |
| State | Published - Jan 1987 |
Keywords
- Biopsy
- Colposcopy
- Cytological Techniques
- Dilatation and Curettage
- Female
- Humans
- Mucous Membrane/cytology
- Papanicolaou Test
- Uterine Cervical Dysplasia/diagnosis
- Uterine Cervical Neoplasms/diagnosis
- Vaginal Smears
