Effect on detection of various cervical lesions using the combined spatula and cytobrush sampling method.
- 1 January 1987
- journal article
- Published by The Japanese Society of Clinical Cytology in The Journal of the Japanese Society of Clinical Cytology
- Vol. 26 (6) , 1030-1033
- https://doi.org/10.5795/jjscc.26.1030
Abstract
With the introduction of the combined spatula-Cytobrush sampling method, the percentage of representative smears (containing endocervical cells) rose from 68 to 99%, and the rate of cytologic positive cases increased significantly.Both effects can be explained by the efficient endocervical sampling of the Cytobrush: first, it reaches higher parts of the endocervical canal, and, second the bristles of the brush dislodge atypical epithelium lining the endocervical clefts.In the current paper is shown that the increase in detection rate depends on the type of cervical lesion. For slight dysplasia (mainly located on the ectocervix) the increase was nil, whilst in the more severe preneoplastic lesions (mainly situated in the endocervix) the increase was 1.5 till 2.4.So Cytobrush sampling is essential for the efficacy of detection the more severe preneoplastic lesions.Keywords
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