Abstract
Between February 1985 and April 1988, 360 women were seen at Tripler Army Medical Center’s cervical clinic as part of a prospective study to assess the value of paired Papanicolaou smears in the follow-up of atypical squamous cells in a cervical cytologic smear. The evaluation consisted of paired repeat Papanicolaou smears and colposcopy. Colposcopically directed biopsies and/or endocervical curettage were performed in 86% of the subjects. The results of the paired Papanicolaou smears were negative/negative in 202 patients (56%). Cervical intraepithelial neoplasia was diagnosed histopathologically in 16% of all patients and in 10% of those with negative/negative repeat smears. We conclude that the presence of atypical squamous cells in a Papanicolaou smear should be considered abnormal and that colposcopy and colposcopically directed biopsies should be performed for these patients.
Original language | English |
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Pages (from-to) | 747-750 |
Number of pages | 4 |
Journal | Obstetrics and Gynecology |
Volume | 73 |
Issue number | 5 Pt 1 |
State | Published - May 1989 |
Keywords
- Adolescent
- Adult
- Aged
- Cervix Uteri/pathology
- Colposcopy
- Epithelium/pathology
- False Negative Reactions
- Female
- Humans
- Middle Aged
- Papanicolaou Test
- Prospective Studies
- Uterine Cervical Neoplasms/pathology
- Vaginal Smears