子宮頚部細胞診の日米比較―日母分類とベセスダシステム―

DOI 被引用文献2件

書誌事項

タイトル別名
  • Comparison of the diagnosis of uterine cervical (Pap.) smears from Japan and the US-Modified Papanicolaou's classification vs The Bethesda System 2001-
  • Modified Papanicolaou's classification vs The Bethesda System 2001
  • 日母分類とべセスダシステム

抄録

Objective: We compared differences in the diagnosis of cervicovaginal (Pap.) smears between Japan (modified Papanicolaou classification) and the U. S.(The Bethesda System 2001).<BR>Study Design: Pap smears from 109 American women previously diagnosed by cytopathologists in the U. S. were independently reexamined by an experienced cytotechnologist in Japan. Original and new cytological diagnoses were compared and classified as complete agreement (CA), partial agreement (PA), and others. Pap smears with a diagnosis of atypical squamous cells of undetermined significance (ASC-US) were classified by Japanese classification.<BR>Results: Overall CA and PA rates were 39.4%. The CA rate of high-grade intraepithelial lesion (HSIL), was 84.6, of low-grade intraepithelial lesion (LSIL) 41.4, and reactive/negative 74.1%. Approximately 50%, was classified by the Japanese classification as reactive, and 40% of ASC-US as mild dysplasia.<BR>Conclusion: Overall agreement in cytological diagnoses by two different classifications was relatively high (CA+ PA: about 80%), especially that of HSIL and reactive/negative. Diagnostic criteria for these categories appeared to be equivalent. In contrast, agreement for LSIL diagnosis was low, possibly contributing to the major difference in diagnosis between the two classifications.

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詳細情報 詳細情報について

  • CRID
    1390001204696122368
  • NII論文ID
    130003759008
  • DOI
    10.5795/jjscc.44.111
  • ISSN
    18827233
    03871193
  • 本文言語コード
    ja
  • データソース種別
    • JaLC
    • Crossref
    • CiNii Articles
  • 抄録ライセンスフラグ
    使用不可

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