Document Detail


Atypical bare nuclei in liquid-based cervical cytology and their significance.
MedLine Citation:
PMID:  20014552     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate the potential significance of atypical bare nuclei in ThinPrep (TP) technique (Cytyc Corp., Boxborough, Massachusetts, U.S.A.), liquid-based cervical cytology and their possible association with certain epithelial abnormalities. STUDY DESIGN: Four thousand seven hundred thirty-six TP cervical smears were reviewed over a period of 13 months. Cases in which atypical bare nuclei were detected were selected and were further studied for the clinical, cytomorphologic and histologic features associated with each case. Cases with "typical" bland-looking, free nuclei were excluded. RESULTS: Ten cases were found to have atypical bare nuclei in the reviewed TP cervical smears. Nine were found to be associated with high grade squamous intraepithelial lesions (HSILs) and 6 were nonkeratinizing-type HSIL, 5 of which had endocervical involvement. None were associated with low grade squamous intraepithelial lesions (LSILs). One was associated with endometrial serous papillary carcinoma. CONCLUSION: In this study we tried to illustrate the significance of atypical bare nuclei in TP cervical smears. An association of atypical bare nuclei with HSIL, but not with LSIL, was observed. Attempts were made to explain this association and to suggest the potential management implications for TP cervical smears with such atypical bare nuclei.
Authors:
Badr AbdullGaffar; Mohamed Osman Kamal; Manar Khalid; Ravirani Samuel; Rafeea AlGhufli
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta cytologica     Volume:  53     ISSN:  0001-5547     ISO Abbreviation:  Acta Cytol.     Publication Date:    2009 Nov-Dec
Date Detail:
Created Date:  2009-12-17     Completed Date:  2010-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370307     Medline TA:  Acta Cytol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  637-43     Citation Subset:  IM    
Affiliation:
Cytology Unit, Histopathology Department, Dubai Hospital, Dubai, United Arab Emirates. badraah009@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cell Nucleus / pathology*
Cervical Intraepithelial Neoplasia / pathology
Female
Humans
Middle Aged
Vaginal Smears / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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