Document Detail

The cytological prediction of cervical intraepithelial neoplasia in colposcopically directed biopsies.
MedLine Citation:
PMID:  1801949     Owner:  NLM     Status:  MEDLINE    
The tissue sections and preceding cervical smears of 1262 women who had colposcopic cervical biopsies were reviewed and the reports correlated. Close correlation between the cytological and histological findings, to within one histological grade of cervical intraepithelial neoplasia (CIN), was noted in 86% of cases. However, the biopsy was negative, or contained evidence of wart virus infection only, in 24% of cases where dyskaryotic cells had been observed in the cervical smear. Of particular concern was the fact that negative histological findings were recorded in 13% of cases where the smear contained cells showing a moderate dyskaryosis and in 1.26% of cases where the smear showed severe dyskaryosis. This suggests that colposcopically directed biopsies do not always reflect the underlying pathological changes in the cervix. Management of these cases is discussed. In 45 women with a normal cervical smear prior to biopsy, histology revealed seven cases of CIN 3 and one case of invasive squamous carcinoma. This indicates that referral for colposcopy is advisable whenever there is clinical suspicion of cancer, even if the cervical smear report is normal.
D M Parham; E K Wiredu; K A Hussein
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cytopathology : official journal of the British Society for Clinical Cytology     Volume:  2     ISSN:  0956-5507     ISO Abbreviation:  Cytopathology     Publication Date:  1991  
Date Detail:
Created Date:  1992-04-30     Completed Date:  1992-04-30     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  9010345     Medline TA:  Cytopathology     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  285-90     Citation Subset:  IM    
Department of Pathology, Dundee Royal Infirmary, Scotland.
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MeSH Terms
Epithelium / pathology
Predictive Value of Tests
Uterine Cervical Neoplasms / pathology*
Vaginal Smears

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