Kashyap V, Murthy N S, Bhatnagar P, Sharma S, Das D K
Department of Cytopathology, Maulana Azad Medical College, New Delhi, India.
Indian J Pathol Microbiol. 1995 Oct;38(4):375-82.
The present study was carried out to reveal the magnitude of individual variation in the diagnosis of Pap smears between two cytoscreeners and their compatability with cytopathologists and subsequent final diagnostic comparison with biopsy in 1,17411 cervical smears collected from different hospitals of Delhi during ten-year period. Smears diagnosed as dysplasia at initial level by any one of the cytoscreeners were screened by cytopathologists for confirmation of diagnosis. An overall agreement of 94.9 percent was observed between two screens. 79.5 percent was agreement between screeners and cytopathologists. An agreement between cytology and histology in the diagnosis of dysplasia and malignancy were found to be 61.9 percent and dysplasia and malignancy were found to be 61.9 percent and 40.1 percent respectively. From the above study, it was observed that consistency among the two screeners was fairly acceptable. Keeping this observation in view, we can possibly practice two tier screening in place of three.
本研究旨在揭示在十年期间从德里不同医院收集的117411份宫颈涂片检查中，两名细胞筛查人员在巴氏涂片诊断中的个体差异程度，以及他们与细胞病理学家的兼容性，随后将最终诊断结果与活检结果进行比较。任何一名细胞筛查人员最初诊断为发育异常的涂片，均由细胞病理学家进行筛查以确认诊断。两名筛查人员之间的总体一致性为94.9%。筛查人员与细胞病理学家之间的一致性为79.5%。发现细胞学与组织学在发育异常和恶性肿瘤诊断中的一致性分别为61.9%和40.1%。从上述研究中可以观察到，两名筛查人员之间的一致性相当可接受。鉴于这一观察结果，我们有可能实行两级筛查来取代三级筛查。
