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Acta Cytologica Impact of Liquid-Based Gynecologic Cytology on an HIV-Positive Population Sharon L. Swierczynski, M.D., Ph.D., Susan Lewis-Chambers, C.T., Jean R. Anderson, M.D., Jean M. Keller, P.A.C., David A. Hinkle, M.S., and Syed Z. Ali, M.D. OBJECTIVE: To examine the imprint of liquid-based cance (ASCUS)/atypical glandular cells of undetermined technologies for cervicovaginal cytology on HIV-positive significance was diagnosed in 15% of the conventional women, who are at high risk smears and 9% of the liquid- for cervical intraepithelial based preparations (P =.02). A more aggressive approach, with neoplasia. In patients with ASCUS di- STUDY DESIGN: We per- agnoses and tissue follow-up immediate colposcopy and biopsy, formed a retrospective search within 7 months, significant may be warranted for all ASCUS of the cytopathology files of SILs were identified in 29% Johns Hopkins Hospital for with conventional smears diagnoses on liquid-based the cervicovaginal cytology and in 65% with liquid- cervicovaginal cytology in of HIV-positive women to based cytology. examine the effect of liquid- HIV-positive women. CONCLUSION: There was based technology on this pop- no statistically significant ulation. difference in the rate of SILs RESULTS: Significant intraepithelial lesions (SILs) between conventional smears and liquid-based cervico- (low grade SIL or greater) were identified
Acta Cytologica – Karger
Published: Jan 1, 2011
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