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[Cervical cytology: findings dependent on the bio-collector]
G Olivas Mendoza1, A Aldana Bustamente, M Delgado Morales
1Maternidad Conchita de Cd. Delicias, Chih.
Abstract:
The purpose of this analysis was to prospectively evaluate two biocollectors designed for ecto and endocervix Accelon and spatula, for with two gynecologists-obstetricians taken double cervical sample, simultaneous, in 100 patients going to Outpatient Department. The pathologist did not know which slides were taken with which biocollector, Collectors as well as biocollectors were evaluated by formula Kappa and Contingency tables. Variable nominal of study was quality sample following Bethesda's criteria. Cytological findings observed in slides taken with accellon and spatula respectively were squamous cells 100% a 96%. although proportionally spatula captures greater cellularity of squamous epithelium. From metaplasic cells 17 and 8%. From cylindric epithelium cells, 81 and 65%; and here accellon aptures proportionally greater amount of cylindric cels, 10 or more Leukocytes in presence of cylindric cells at 1X1000 in immersion; 4 y 0% hematies, 18 and 14% without impeding cytological interpretation. And microorganisms. 3 and 10%. As to conclusions: There was concordance for the two collectors; and it was not so for biocollectors, which detect neoplastic epithelial lesions, being a better collector of endocervical component, the Accellon an it favors objective criteria for the cytologic diagnostic of endocervicitis. As to spatula it captures more squamous component and it favors cytologic diagnosis of microorganism that affect this area. Both biocollectors are needed to compensate limitations, and so, improve the specimens that permit to lower false negatives.