comparison of pap smear quality with anatomical spatula method and the common method (spatula-cytobrush): a single blind clinical trial
نویسندگان
چکیده
background: cervical cancer is the third most common cancer in women in the world. papanicolaou smear is known as a standard test for cervical cancer screening; however, the most important challenge is high rates of false negative results. the aim of this study was to compare the quality of smears obtained by anatomical spatula and spatula-cytobrush. the most important factor in false negative result is inappropriate tool of sampling. methods: one hundred married women participated in this single blind clinical trial. all participants were interviewed; two samples were obtained from every participant: one with spatula-cytobrush and another one with anatomical spatula. all slides were encoded and were assessed by two pathologists. then, data were analyzed by means of kappa coefficient. results: cell adequacy was 96.1 % in anatomical spatula method and 91.2 % in spatula-cytobrush method (p= 0.016). the rates for endocervical cells and metaplasia cells in anatomical spatula method were 70.6% and 24.5% respectively and these amounts were 69.6% and 24.5% respectively in the spatula-cytobrush method (p <0.001). no one reported any pain and the amount of bleeding was 38.2% in both methods (p>0.05). regarding infection and inflammatory reactions there was no statistically significant difference between two methods (p>0.05). conclusion: based on our findings in this study, results of sampling with anatomical spatula method were more acceptable and better than those with spatula-cytobrush sampling.
منابع مشابه
Comparison of Pap Smear Quality With Anatomical Spatula Method and the Common Method (Spatula-Cytobrush): A Single Blind Clinical Trial
BACKGROUND Cervical cancer is the third most common cancer in women in the world. Papanicolaou smear is known as a standard test for cervical cancer screening; however, the most important challenge is high rates of false negative results. The aim of this study was to compare the quality of smears obtained by anatomical spatula and spatula-cytobrush. The most important factor in false negative r...
متن کاملComparison of Pap smear quality with anatomical spatula and convenience (spatula-cytobrush) methods: a single blind clinical trial.
OBJECTIVES The Papanicolaou smear is a standard test for cervical cancer screening; however, the most important challenge is high false negative results. Several factors contribute to this problem and one the most important is inappropriate sampling. The aim of this study was to compare the quality of smears obtained by either an anatomical spatula or a spatula-cyto brush. METHODS One hundred...
متن کاملPapanicolaou smear adequacy: the cervical cytobrush and Ayre spatula compared with the extended-tip spatula.
Papanicolaou smears have false-negative rates of 6 percent to 56 percent that are due, in large part, to inadequate sampling of endocervical cells. A randomized, prospective trial was conducted comparing the adequacy of Papanicolaou smears obtained with the cytobrush and Ayre spatula with smears obtained with the extended-tip spatula, as measured by the presence of endocervical cells. One hundr...
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Background: Cervical cancer is the second most common cancer among women worldwide. One of the methods of early diagnosis of this cancer is the screening pap smear test that has decreased both the incidence and mortality of cervical cancer. The aim of this study was comparison of pap smear quality with spatula-cytobrush versus cervix brush methods. Methods: One hundred married women between ...
متن کاملمقایسه کیفیت اسمیر در سه روش نمونه گیری پاپ اسمیر
Background and Aim: Pap smear test is considered the best screening method for cervical disease, especially for malignant lesions. The crucial factor here is obtaining high-quality samples, as poorly-prepared ones cause a great deal of confusion for patients and physicians alike. Attempts to define an ideal sampling technique have been going on for many years, and in this study we compare three...
متن کاملControlled trial of a new cervical spatula.
A wooden spatula was designed to scrape the varied distribution of epithelial abnormalities of the cervix as seen at colposcopy. The efficiency of the spatula in obtaining dyskaryotic cells and improving the cellular quality of smears was compared with that of the Ayre spatula in a controlled trial. More than 17,000 smears were taken from women aged 14-86 years by more than 200 smear takers fro...
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عنوان ژورنال:
iranian journal of cancer preventionجلد ۵، شماره ۱، صفحات ۳۳-۳۸
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