2024, Number 2
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Acta Med 2024; 22 (2)
Sensitivity and specificity of Pap smear with liquid cytology for the detection of cervical lesions
Caldera HFM, Torres SQL, Stern-Colín NJJ
Language: Spanish
References: 11
Page: 100-103
PDF size: 155.24 Kb.
ABSTRACT
Introduction: the wide variation in the technical quality of cytologic smears increases the likelihood of diagnostic failure in microscopic examination. Nevertheless, it has been used in the diagnosis of multiple lesions. Currently, progress in cytologic techniques has resulted in the development of liquid-based preparations.
Objective: to determine the sensitivity and specificity of liquid cytology for identifying cervical lesions.
Material and methods: cross-sectional, observational, analytical, and retrospective study of diagnostic sensitivity. For screening, we included records of women who attended the gynecology and obstetrics outpatient clinic 1027, Hospital Angeles Pedregal.
Results: 259 liquid cytologies were analyzed from women aged 46 ± 12 years, with 28.6% of cervical pathology. Low-grade intraepithelial lesions accounted for 5.4%, and high-grade lesions for 0.4%. The most commonly reported sexually transmitted diseases were candidiasis and human papillomavirus infection. When these results were contrasted against the biopsy, a sensitivity of 92.3% and a specificity of 98.7% were determined.
Conclusions: the sensitivity and specificity found supports the recommendation of this technique for early detection of cervical lesions.
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