[Telecytoconsultation: application of the TRANSPATH system to the cervicovaginal pathology]

Telediagnosis in Cytology is possible and useful. As for histology it requires education to use this new tool and a new method to make a diagnosis, but also a rigorous behaviour. But for cytology, technical restrictions are more important: selection of adequate fields, magnification (a 60 x objective is necessary), illumination (specially for little round cells, in fact spheric ones), and a good knowledge of cytology of both partners to be used with accuracy. This method offers no real access to smear's background and false negatives are impossible to exclude. Moreover it is difficult to differentiate between endocervical and endometrial cells and competence in cytology is much more necessary than for histology. A more detailed evaluation is therefore required.