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Human papillomavirus false positive cytological diagnosis in low grade squamous intraepithelial lesion

  1. Author:
    Nunez-Troconis, J.
    Delgado, M.
    Gonzalez, J.
    Velasquez, J.
    Mindiola, R.
    Whitby, D.
    Conde, B.
    Munroe, D. J.
  2. Author Address

    Nunez-Troconis, Jose] Univ Zulia, Hosp Manuel Noriega Trigo, Dept Obstet & Ginecol, Fac Med, Maracaibo 4011, Venezuela. [Delgado, Mariela, Gonzalez, Julia] Policlin Maracaibo, Lab Patol, Maracaibo, Venezuela. [Velasquez, Jesvy, Mindiola, Raimy] Univ Zulia, Fac Med, Lab Reg Referencia Virol, Maracaibo 4011, Venezuela. [Whitby, Denise, Conde, Betty] NCI, Viral Oncol Sect, Core Lab, SAIC Frederick Inc, Frederick, MD 21701 USA. [Munroe, David J.] NCI, Lab Mol Technol, SAIC Frederick Inc, Frederick, MD 21701 USA.
    1. Year: 2009
  1. Journal: Investigacion Clinica
    1. 50
    2. 4
    3. Pages: 447-454
  2. Type of Article: Article
  3. ISSN: 0535-5133
  1. Abstract:

    The purpose of this study was to investigate the number of Human Papilloma-virus false positive cytological diagnosis in low grade squamous intraepithelial lesions (LSIL). Three hundred and two women who assisted to an Out-Patient Gynecologic Clinic in Maracaibo, Venezuela, were recruited for this study. Each patient had the Pap smear and a cervical swab for Hybrid Capture 2 (HC2). Three cytotechnologists reviewed the Pap smears and two pathologists rescreened all of them. The cytotechnologists reported 161 (53.3%) Pap smears negatives for intraepithelial lesion (IL) or malignancy, and 141 cases (46.7%) with epithelial abnormalities. They reported 46% of 302 patients with HPV infection in Pap smear slides. The pathologists found that 241 (79.8%) Pap smears were negatives for IL or malignancy and 61 (20.2%), with abnormal Pap smears. They found 14.6% HPV infection in all Pap smears (p<0.0001, 46% vs 14.6%). The HC2 study showed that 47 samples (15.6%) were positive for HPV. The study found that 114 Pap smears (False Positive: 85%) of 134 reported by the cytotechnologists and 24 (False Positive: 43%) of 56 cytologies reported by the pathologists as LSIL, were negative for HPV infection determined by HC2 (p<0.00003). The present study suggests that the cytotechnologists overdiagnosed cellular changes associated with HPV infection in the Pap smear, increasing the FP cytological diagnosis of LSIL.

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