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Cervical cytology with the Papette sampler
A Ferenczy1, J Robitaille, M Guralnick
1Department of Pathology, Sir Mortimer B. Davis-Jewish General Hospital, Montreal, Quebec, Canada.
The Journal of Reproductive Medicine
|April 1, 1994
Summary
The Papette device collects high-quality cervical cell samples, potentially aiding in cervical cancer detection. It offers easier cell transfer and less bleeding compared to traditional methods.
Area of Science:
- Gynecology
- Cytopathology
- Medical Device Technology
Background:
- Reliable cervical cancer screening requires samples from the transformation zone and endocervical canal.
- Identifying endocervical cells or immature squamous metaplastic cells confirms adequate sampling.
Purpose of the Study:
- To evaluate the Papette, a new device for simultaneous exocervix and endocervix sampling.
- To assess the cytologic quality and physician acceptability of the Papette.
Main Methods:
- An open clinical trial involving 1,000 women using the Papette.
- Comparison of Papette-collected smears with those from the Ayre spatula-Zelsmyr Cytobrush technique in 1,000 women.
- Assessment of smear quality, cell transfer ease, and bleeding incidence.
Main Results:
- Satisfactory smears were obtained in 91.4% of cases with the Papette and 96.0% with the spatula-Cytobrush.
- The Papette demonstrated easier cell transfer and less bleeding.
- The spatula-Cytobrush was more suitable for retroflexed uteri and narrow cervical os.
Conclusions:
- The Papette effectively collects high-quality cellular samples for cervical cytology.
- The Papette presents a viable alternative for cervical sample collection.
- Device suitability may vary based on patient anatomy.