Comparison between ThinPrep cytologic test and colposcope pathological biopsy in screening of cervical cancer and premalignant lesion
10.3760/cma.j.issn.1673-4904.2013.09.010
- VernacularTitle:薄层液基细胞学检查与阴道镜病理学活检在宫颈癌及癌前病变筛查中的比较
- Author:
Xiaomei ZHANG
;
Xiuhua NIE
- Publication Type:Journal Article
- Keywords:
Uterine cervical neoplasms;
Colposcopy;
Precancerous conditions;
Cytology;
Pathology
- From:
Chinese Journal of Postgraduates of Medicine
2013;(9):30-33
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the application values of ThinPrep cytologic test (TCT) and colposcope pathological biopsy in screening of cervical cancer and premalignant lesion.Methods Two hundred and forty-two female patients with TCT results abnormal were selected as the research object,and they were examined in colposcope pathological biopsy.The diagnostic accordance between TCT and colposcope pathological biopsy was analyzed,and the result of colposcope pathological biopsy in cervical different parts was compared.Results In TCT,the ratio of cervical intra-epithelial neoplasia (CIN) in atypical squamous cell of undetermined significance was 56.52％ (52/92),that in low-grade squamous intraepithelial lesion was 88.16％(67/76) and in high-grade squamous intraepithelial lesion was 100.00％(67/67),the test results of two methods had consistency by the Pearson rank correlation test (Pearson contingency coefficient =0.7588,x2 =328.37,P ＜ 0.05).In colposcope pathological biopsy,the positive rate of lesions center was 90.22％ (83/92),that of lesions edge was 73.17％ (60/82) and that of 3,6,9,12 point was 71.74％ (66/92),there were significant differences among the positive rate of the three parts by the unidirectional ordered categorical data rank and inspection (Kruskal-Wallis method)(P ＜ 0.05),the positive rate of lesions center was higher than that of lesions edge and 3,6,9,12 point (P＜ 0.05),there was no significant difference in positive rate between lesions edge and with 3,6,9,12 point (P ＞0.05).Condusion The result of TCT and colposcope pathological biopsy is consistent,and the positive rate of lesions center of colposcope pathological biopsy is higher,which is higher than that of lesions edge and 3,6,9,12 point.
