di Loreto C, Maeda M Y, Utagawa M L, Longatto Filho A, Alves V A
Divisão de Patologia, Instituto Adolfo Lutz, Laboratório Central, São Paulo.
Rev Assoc Med Bras (1992). 1997 Jul-Sep;43(3):195-8.
The cytohistologic diagnosis concordance of the cervix-uterine lesions was evaluated and the discordances are discussed.
To evaluate the level of cytohistological diagnosis agreement in the Pathology Division of the Adolfo Lutz Institute and enhance parameters of quality assurance system developed in this institution.
The authors retrospectively evaluated 157 pairs of cytologyhistology consecutive cases from the files the Adolfo Lutz Institute (Division of Pathology).
Agreement was found in 119 cases (75.8%); in the remaining cases cytologic diagnosis were higher than histology in 11 lesions (7.0%) and lower in 27 (17.2%). We also observed that in 5 cases previously diagnosed as inflammatory, 2 of them were reclassified as CIN 1; after revision, the others remained as inflammatory even though they had a histological diagnosis of CIN.
These results showed the role of cytohistological correlation to the quality assurance system of cytological diagnosis and also stressed the importance of taking the cervical scrapes with accurate care to avoid diagnostic discrepancies.
评估了子宫颈病变的细胞组织学诊断一致性，并讨论了不一致之处。
评估阿道夫·卢茨研究所病理科细胞组织学诊断的一致程度，并完善该机构制定的质量保证体系参数。
作者回顾性评估了阿道夫·卢茨研究所（病理科）档案中的157对连续的细胞学-组织学病例。
119例（75.8%）诊断一致；其余病例中，11例病变（7.0%）的细胞学诊断高于组织学诊断，27例（17.2%）低于组织学诊断。我们还观察到，在5例先前诊断为炎症的病例中，其中2例重新分类为CIN 1；复查后，其他病例尽管组织学诊断为CIN，但仍诊断为炎症。
这些结果显示了细胞组织学相关性在细胞学诊断质量保证体系中的作用，也强调了准确采集宫颈刮片以避免诊断差异的重要性。
