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The Pap smear: take two.

J J Shulman, A Hontz, A Sedlis

    American Journal of Obstetrics and Gynecology
    |April 15, 1975
    PubMed
    Summary
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    Obtaining two cervical cytology smears significantly enhances detection of abnormal cells by 86%. This finding highlights the insensitivity of a single Pap smear for effective cervical cancer screening.

    Area of Science:

    • Gynecology
    • Cytopathology
    • Public Health

    Background:

    • Cervical cancer screening relies on accurate detection of abnormal cervical cytology.
    • The conventional single "pancervical" Pap smear may have limitations in sensitivity.

    Purpose of the Study:

    • To evaluate the efficacy of sequential "pancervical" Pap smears in detecting abnormal cervical cytology.
    • To compare the diagnostic yield of one versus two sequential Pap smears.

    Main Methods:

    • A national sample of 2,823 patients in a Family Planning Program underwent sequential "pancervical" Pap smears.
    • Data were analyzed to determine the increase in detection rates for abnormal cytology.

    Main Results:

    • Sequential "pancervical" Pap smears increased the detection of abnormal cervical cytology by 86% in the studied population.

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  • Participating groups in the national study also observed significant increases in sensitivity, though varying in degree.
  • Conclusions:

    • A single "pancervical" Pap smear is an insensitive method for detecting abnormal cervical cytology.
    • Sequential Pap smears improve case-finding and have implications for rescreening strategies.
    • Implementing dual Pap smear protocols could enhance cervical cancer early detection efforts.