Detection of endocervical component by PAPNET™ system on negative cervical smears
✍ Scribed by R. Ashfaq; B. Solares; M. H. Saboorian
- Publisher
- John Wiley and Sons
- Year
- 1996
- Tongue
- English
- Weight
- 251 KB
- Volume
- 15
- Category
- Article
- ISSN
- 8755-1039
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✦ Synopsis
The presence of endocervical component (ECs) on cervical smears is considered essential for determining the adequacy of the Pap smear. The absence of an endocervical component in a negative smear suggests that a repeat Pap smear should be taken. We evaluated 635 manually screened negative cervical smears with a documented endocervical component. On P A P N E P review, these cases were scrutinized for endocervical cells, metaplastic squamous cells (MSe), or both. One-hundred and thirty-eight cases (22%). adequate manually, showed no ECs or MSQs by P A P N E P . Twenty-three additional cases with both ECs and
MSQ on manual, showed only MSQ by P A P N E P , while another 30 cases (5%) with MSQ manually were totally missed by PAP-N E P . The results of this analysis shows that the endocervical component (ECs, MSQ) is missed by P A P N E P in 27% of the cases. Without further improvement, this may pose the greatest deterrent for P A P N E P as a primary screening instrument.