hrcak mascot   Srce   HID

Izvorni znanstveni članak

Pap Test – With or Without Vaginal Smear?

Valerija Miličić-Juhas ; University of Osijek, School of Medicine, Osijek, Croatia
Marija Perić ; Department of Clinical Cytology, University Hospital Center Osijek, Osijek, Croatia
Marija Pajtler ; University of Osijek, School of Medicine, Osijek, Croatia
Ivana Prvulović ; Department of Clinical Cytology, General Hospital »Dr. J. Benčević«, Sl. Brod, Croatia
Darko Čuržik ; University of Osijek, School of Medicine, Osijek, Croatia

Puni tekst: engleski, pdf (62 KB) str. 69-74 preuzimanja: 624* citiraj
APA 6th Edition
Miličić-Juhas, V., Perić, M., Pajtler, M., Prvulović, I. i Čuržik, D. (2010). Pap Test – With or Without Vaginal Smear?. Collegium antropologicum, 34 (1), 69-74. Preuzeto s https://hrcak.srce.hr/51244
MLA 8th Edition
Miličić-Juhas, Valerija, et al. "Pap Test – With or Without Vaginal Smear?." Collegium antropologicum, vol. 34, br. 1, 2010, str. 69-74. https://hrcak.srce.hr/51244. Citirano 24.10.2021.
Chicago 17th Edition
Miličić-Juhas, Valerija, Marija Perić, Marija Pajtler, Ivana Prvulović i Darko Čuržik. "Pap Test – With or Without Vaginal Smear?." Collegium antropologicum 34, br. 1 (2010): 69-74. https://hrcak.srce.hr/51244
Harvard
Miličić-Juhas, V., et al. (2010). 'Pap Test – With or Without Vaginal Smear?', Collegium antropologicum, 34(1), str. 69-74. Preuzeto s: https://hrcak.srce.hr/51244 (Datum pristupa: 24.10.2021.)
Vancouver
Miličić-Juhas V, Perić M, Pajtler M, Prvulović I, Čuržik D. Pap Test – With or Without Vaginal Smear?. Collegium antropologicum [Internet]. 2010 [pristupljeno 24.10.2021.];34(1):69-74. Dostupno na: https://hrcak.srce.hr/51244
IEEE
V. Miličić-Juhas, M. Perić, M. Pajtler, I. Prvulović i D. Čuržik, "Pap Test – With or Without Vaginal Smear?", Collegium antropologicum, vol.34, br. 1, str. 69-74, 2010. [Online]. Dostupno na: https://hrcak.srce.hr/51244. [Citirano: 24.10.2021.]

Sažetak
The aim of this study was to evaluate medical and economic justification of vaginal smears as a part of primary screening for cervical carcinoma and its precursors. Study included 245.048 participants whose VCE (vaginal, cervical, endocervical) smears were examined at Department of clinical cytology of University Hospital Center Osijek from 2003 till 2008. There were 12.639 (5.2%) abnormal findings, and they were divided into three groups: abnormal cells found only in vaginal smear (V), abnormal cells found in vaginal and in at least one other smear (V+) and abnormal cells not found in vaginal smear (C/E). These three groups were analysed in respect to cytological differential diagnosis and age of participants. It was estimated how many women could be additionally included in the screening, if vaginal smear would be included in the Pap test only after 50 years of age. In 6.9% of cytologically diagnosed lesions abnormal cells were found exclusively in vaginal smears (0.35% of all findings). As for squamous cell lesions, 91.2% were mild lesions (ASC and LSIL). Invasive squamous cell carcinoma was not diagnosed exclusively by vaginal smear in either woman under 50 years of age, while in women over 50 years of age it was diagnosed in 2.3% of cases. Exclusively by vaginal smear was diagnosed 3.9% of all AGC and 6.3% of adenocarcinoma, while in 85.0% of glandular epithelium lesions abnormal cells were not found in vaginal smears. Two thirds of adenocarcinoma diagnosed exclusively by vaginal smears were endometrial adenocarcinoma, but that is only 10.3% of all endometrial carcinoma diagnosed by Pap test. Obtained results show that taking of vaginal smears along with cervical and endocervical smears as a part of primary screening for cervical carcinoma and its precursors in women under 50 years of age is not justifiable, since vaginal smear only has a role in detection of endometrial carcinoma that are extremely rare in younger age groups. If vaginal smear would be taken only in women over 50 years of age, additional 37.7% of women under 50, or 25.1% women over 50 years of age could be included in the screening.

Ključne riječi
cervical screening; Pap test; cervical/vaginal smear

Hrčak ID: 51244

URI
https://hrcak.srce.hr/51244

Posjeta: 930 *