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Accuracy of herpes simplex virus detection in liquid-based (SurePath) Papanicolaou tests: A comparison with polymerase chain reaction

✍ Scribed by Deniz L. Aslan; Stefan E. Pambuccian; Frances L. Prekker; Timothy W. Schacker; Peter Southern; Kay Savik; Dan McKeon; H. Evin Gulbahce


Publisher
John Wiley and Sons
Year
2008
Tongue
English
Weight
174 KB
Volume
36
Category
Article
ISSN
8755-1039

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✦ Synopsis


Abstract

A review of our institution's Papanicolaou test records over an 11‐yr period showed that liquid‐based Papanicolaou tests (LBPTs) had a significantly higher frequency of diagnoses of Herpes simplex virus (HSV)‐related cellular changes compared to conventional Papanicolaou smears (77/302,841, 0.026% vs. 56/376,173, 0.015%, P = 0.002). To investigate the accuracy of the diagnosis of HSV by LBPT, we performed conventional polymerase chain reaction (PCR) on the residual samples from 258 prospectively collected LBPT and real‐time PCR using a different primer set on a subset of 40 LBPT. Conventional PCR was positive in 22 of 22 cases diagnosed of HSV, 1 of 2 cases diagnosed as suspicious for HSV, and none of 234 LBPT without a cytologic HSV diagnosis. Real‐time PCR was positive in 8 of 8 cases diagnosed as HSV and none of the 32 controls. We conclude that LBPT allows an increased detection of HSV that is highly accurate. Diagn. Cytopathol. 2008;36:94–103. © 2008 Wiley‐Liss, Inc.


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