[Centralized and decentralized organization of cervical cytodiagnostics (author's transl)]

Results of cervical cytodiagnostics with centralized and decentralized forms of organization are compared. In particular, the author deals with the respective share of non-judgeable smears, the cytological diagnostic reliability with histologically proved malignant and premalignant cervical lesions, the respective share of pathological cell-pictures with a negative histological finding, as well with the differential-diagnostic reliability. By the simultaneous application of colposcopy cytologically wrongly negative findings are recognized or corrected at the centralized working style. At the decentralized working style the colposcope is not required, on principle. The partly smaller share of cytological errors is ascribed to this lack of control. A comparison of optimal examination material clarified by conization and gradual serial slides with the cases histologically treated by routine methods permits the conclusion that a pathological cell finding should be evaluated higher than a negative histological diagnostic finding established on the basis of an insufficient slide material. Therefore, a decentralized sending in cytology particularly requires careful, thorough bioptic methodics, being combined with the other well-known methods.