Document Detail

Achievable standards, benchmarks for reporting, and criteria for evaluating cervical cytopathology. Second edition including revised performance indicators.
MedLine Citation:
PMID:  10983723     Owner:  NLM     Status:  MEDLINE    
Endocervical cells are not essential for an adequate smear, except where the previous abnormality was seen in endocervical cells. When three consecutive smears are reported as inadequate, the recommendation for colposcopy should be made at the discretion of the pathologist in the light of a review of the relevant slides and the clinical history of the woman concerned. The cellularity of previous sequential smears should not be combined in order to judge the present smear test as negative. There should be no more than three abnormal smears (including borderline) over any 10-year period without a recommendation for colposcopy. At least three negative smears, at least 6 months apart, should be reported before a woman is returned to routine recall following a smear showing mild dyskaryosis or borderline nuclear change. There is no evidence that demonstrates that selective double screening is any more effective in preventing false-negatives than rapid review and this practice cannot therefore be justified. Sensitivity should be based on all abnormalities detected on primary screening rather than on moderate dyskaryosis or worse. Ranges for reporting rates are based on the 10-90th percentiles of the range for laboratories reporting over 10000 screening smears per year in KC61 returns, but apply to all laboratories reporting screening smears.
E J Johnson; J Patnick;
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Publication Detail:
Type:  Guideline; Journal Article    
Journal Detail:
Title:  Cytopathology : official journal of the British Society for Clinical Cytology     Volume:  11     ISSN:  0956-5507     ISO Abbreviation:  Cytopathology     Publication Date:  2000 Aug 
Date Detail:
Created Date:  2000-12-12     Completed Date:  2000-12-14     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  9010345     Medline TA:  Cytopathology     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  212-41     Citation Subset:  IM    
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MeSH Terms
Cervical Intraepithelial Neoplasia / pathology
Laboratories / standards
Quality Control
Sensitivity and Specificity
Uterine Cervical Diseases / pathology
Uterine Cervical Neoplasms / diagnosis,  pathology*
Vaginal Smears / standards*

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