Al-Kadri Hanan M F, Hajeer Ali H, Al-Hawashim Nadia S, Salem Hany H
Department of Obstetrics and Gynecology, King Fahad National Guard Hospital, King Abdul-Aziz Medical City, PO Box 57374, Riyadh 11574, Kingdom of Saudi Arabia.
Saudi Med J. 2006 Nov;27(11):1698-702.
To determine whether or not the Pap smear taker is reporting the clinical appearance of the cervix on the cytology request form, and if cytologist / smear taker are giving any importance to this information prior to issuing advice on subsequent follow-up. Finally, to evaluate the clinicians' response to normal Pap smear report in the absence of the clinical comment on the cervix.
A retrospective study, for a total of 1196 random smear results performed between 1999 and 2000 at King Fahad National Guard Hospital, Riyadh, Kingdom of Saudi Arabia with its relevant charts were evaluated. The samples were divided into 2 main groups. Group I, the Pap smears sent with the absence of clinical description of the cervix, and group II, was sent with the clinical description of the cervix. Cytologist follow up recommendations and the clinicians' response were evaluated.
A total of 1196 Pap smears were reviewed. Of the total 510 (42.6%) smears represented group I. Vast majority 506/510 (99.2%) were reported to be normal. A 12 months follow up was given for 505/506 (99.8%) smears. Only 4/510 (0.8%) Pap smears were abnormal and relevant cytologist's recommendations were given. Clinicians reassessed the uterine cervix for only 7.7% of the patients in the group. A total of 686/1196 (57.4%) smears represented group II. The vast majority 630 (91.8%) were with normal cervical appearance, 627/630 (99.5%) had normal cytology and only 3/630 (0.5%) had significant intraepithelial lesion. Relevant recommendations were given by the cytologist and were accepted by clinicians. A total of 56/686 (8.2%) had abnormal cervical appearance and 45/56 (80.4%) had normal cytology. A 12 months follow up was recommended for all except 7/45 (15.6%). Clinicians have followed these recommendations for all except 5/45 (11.1%). Eleven out of 56 (19.6%) smears were abnormal, relevant recommendations were given by the cytologist and all were followed by the clinicians.
High proportion of cervical smears request did not report clinical appearance of uterine cervix (42.6%). In patients whose cervical smear was reported abnormal (8.2%), 19.6% of them were found with significant intra-epithelial lesion. The clinical appearance of the cervix should be documented on the Pap smear request. Follow up recommendation for Pap smears carried out without clinical appearance description should be left to the clinician.
确定巴氏涂片采集者是否在细胞学申请表上报告宫颈的临床表现，以及细胞学家/涂片采集者在就后续随访提供建议之前是否重视此信息。最后，评估临床医生对巴氏涂片报告正常但未对宫颈进行临床评价的反应。
进行一项回顾性研究，评估了1999年至2000年在沙特阿拉伯利雅得法赫德国民警卫队医院进行的1196份随机涂片结果及其相关病历。样本分为两个主要组。第一组，送检的巴氏涂片未对宫颈进行临床描述；第二组，送检的巴氏涂片有宫颈的临床描述。评估了细胞学家的随访建议和临床医生的反应。
共审查了1196份巴氏涂片。在总共510份（42.6%）涂片中，第一组占绝大多数。其中506/510（99.2%）报告为正常。对505/506（99.8%）份涂片进行了12个月的随访。只有4/510（0.8%）份巴氏涂片异常，并给出了相关细胞学家的建议。临床医生仅对该组中7.7%的患者重新评估了子宫颈。在1196份涂片中，共有686/1196（57.4%）份涂片属于第二组。绝大多数630份（91.8%）宫颈外观正常，627/630（99.5%）细胞学正常，只有3/630（0.5%）有高级别上皮内病变。细胞学家给出了相关建议并被临床医生接受。共有56/686（8.
