scholarly journals Comparison of four sampling methods with respect to specimen adequacy of cervical cytology using the Bethesda System.

1992 ◽  
Vol 31 (3) ◽  
pp. 439-443
Author(s):  
Toshihiko TOKI ◽  
Yukie KUMAGAI ◽  
Kimio KOHSAKA ◽  
Hiroshi KAWASHIMA ◽  
Yosei KATAYAMA
Keyword(s):  
Sampling Methods ◽  
Cervical Cytology ◽  
Bethesda System ◽  
The Bethesda System

Incidence of Atypical Glandular Cells of Uncertain Significance in Cervical Cytology Following Introduction of the Bethesda System

1997 ◽  
Vol 67 (1) ◽  
pp. 51-55 ◽  
Author(s):  
Gary L. Eddy ◽  
Serdar H. Ural ◽  
Kenneth B. Strumpf ◽  
Martha A. Wojtowycz ◽  
Pamela S. Piraino ◽  
...  
Keyword(s):  
Cervical Cytology ◽  
Uncertain Significance ◽  
Glandular Cells ◽  
Atypical Glandular Cells ◽  
Bethesda System ◽  
The Bethesda System

Pap Test Reporting Rates for Conventional Smear and Liquid-Based Cervical Cytology from the Largest Academic Women's Hospital in China: Analysis of 1,248,785 Pap Test Reports

2015 ◽  
Vol 59 (6) ◽  
pp. 445-451 ◽  
Author(s):  
Xiang Tao ◽  
R. Marshall Austin ◽  
Hao Zhang ◽  
Lihong Zhang ◽  
Jianan Xiao ◽  
...  
Keyword(s):  
Cervical Screening ◽  
Pap Test ◽  
Major Change ◽  
Cervical Cytology ◽  
Pap Smears ◽  
Pap Tests ◽  
Bethesda System ◽  
Liquid Based Cytology ◽  
The Bethesda System ◽  
Reporting Rates

Objective: The Obstetrics and Gynecology Hospital of Fudan University (OGHFU) in Shanghai is the largest academic women's hospital in China. Between 2009 and 2014, the use of liquid-based cytology (LBC) significantly increased while gradually adopting the Bethesda System (TBS), and in 2012 local regulations mandated that pathologists replace technicians to sign out Pap tests. Design: A retrospective OGHFU database search documented all Pap test reports between 2009 and 2014 by specimen type, either LBC or conventional Pap smears (CPS), and final reporting category. A total of 1,224,785 Pap reports were analyzed to document variations in Pap test reporting during a period of major change in cervical screening in China. Results: LBC gradually replaced CPS, which declined from over 65% of Pap tests in 2010 to 6.4% in 2014. Of 514,811 Pap reports using the traditional class system, class I (negative) reports accounted for 98.3% of results. With the introduction of TBS reporting, pathologist reviews and substantial replacement of CPS by LBC, the laboratory abnormal Pap test rate increased significantly to almost 5%. Conclusions: Changes in cervical cytology reporting between 2009 and 2014 in China's largest academic women's hospital reflected both increased use of LBC and the introduction of pathologist TBS reporting. Abnormality rates increased significantly and fell within CAP benchmark ranges.

scholarly journals Adequacy of cervical cytology by The Bethesda System cell number in specimens in cervical cancer mass screening

2012 ◽  
Vol 51 (2) ◽  
pp. 110-115 ◽  
Author(s):  
Yutaka MORIMURA ◽  
Seiko CHIBA ◽  
Yukari ARAKI ◽  
Yoshinori SOETA ◽  
Takashi TSUKAHARA ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Mass Screening ◽  
Cell Number ◽  
Cervical Cytology ◽  
System Cell ◽  
Bethesda System ◽  
The Bethesda System

Vaginal biocoenosis examining comparing to exfoliative cervical cytology

2017 ◽  
Vol 7 (2) ◽  
pp. 36-42
Author(s):  
M. Hawryluk ◽  
W. Ustymowicz ◽  
L. Hawryluk ◽  
M. Maciorkowska ◽  
A Prycznicz
Keyword(s):  
Trichomonas Vaginalis ◽  
Bacterial Infections ◽  
Phase Contrast ◽  
Bacterial Flora ◽  
Cervical Cytology ◽  
Phase Contrast Microscopy ◽  
Vaginal Microflora ◽  
Contrast Microscopy ◽  
Bethesda System ◽  
The Bethesda System

<b>Introduction</b>: At present, the gynaecologists have been increasingly frequently switching from vaginal biocoenosis assessment towards cervical cytology results to obtain information on the type of infection. Exfoliative cervical cytology is a screening test for dysplastic intraepithelial lesions and ectocervical cancers. One should emphasize however that one of the four parts of the new Bethesda classification specifies such inflammatory lesions as: <i>Trichomonas vaginalis, Candida, Actinomyces, Chlamydia</i>, cellular changes consistent with HSV infection and changes of bacterial flora. The gynaecologists however may perform vaginal biocoenosis assessment individually and diagnose its abnormalities in a relatively short timeframe.Conclusions: Lack of 100% correlation between the vaginal biocoenosis test and cytological result according to the Bethesda system means that assessment of vaginal microflora in phase-contrast microscopy should not be abandoned. <b>Purpose</b>: To analyse the association between lesions revealed during vaginal biocoenosis assessment in correlation to lesions described in the studies dedicated to cytological assessment of ectocervical smear. <b>Material and methods</b>: The study group included 1991 female patients scheduled for the follow-up cytological screening in a gynaecological office. Patients underwent gynaecological examination covering external areas, colposcopy, vaginal pH measurement, sampling for vaginal biocoenosis assessment purposes and cytological sampling. <b>Results</b>: It was demonstrated that diagnostic conformity for <i>Candida sp accounted for only 17.2%, changes of bacterial flora for only 4% and – in the case of Trichomonas vaginalis</i> - for only 3.9%. According to observations, bacterial infections and candidiases have been more frequently diagnosed during vaginal biocoenosis examining comparing to cytological screening, whereas infections with <i>Trichomonas vaginalis</i> have been more frequently diagnosed in cytological screening. <b>Conclusions</b>: Lack of 100% correlation between the vaginal biocoenosis test and cytological result according to the Bethesda system means that assessment of vaginal microflora in phase-contrast microscopy should not be abandoned.

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