Using cytology to evaluate the endocervical canal after loop excision

Tri A. Dinh, Vicki J. Schnadig, Roberto Logrono, Edward V. Hannigan, Joseph T. Santoso

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Objective. This study assesses cytology to evaluate the endocervical canal immediately after loop excision. Material and methods. In 103 patients, we performed a cytologic smear and endocervical curettage immediately after loop excision. Diagnoses were made independently by two cytopathologists and compared to histology. Diagnostic agreement was evaluated statistically. Results. Cytopathologist "A" found a sensitivity of 1.0, specificity of 0.9, positive predictive value (PPV) of 0.44 and negative predictive value (NPV) of 1.0. Cytopathologist "B" found a sensitivity of 0.88, specificity of 0.78, PPV of 0.3 and NPV of 0.98. There was good agreement between the two cytopathologists (kappa = 0.42, 95% CI = 0.25, 0.60). Twenty-five endocervical curettage specimens were insufficient for diagnosis. Seven and 4 cytology specimens were judged unsatisfactory by each cytopathologist, respectively. Histologic and cytologic evaluation charges were $283 and $60.50 per patient, respectively. Conclusion. The use of cytology efficiently evaluates the endocervical canal after loop excision.

Original languageEnglish (US)
Pages (from-to)27-31
Number of pages5
JournalJournal of Lower Genital Tract Disease
Volume6
Issue number1
DOIs
StatePublished - Jan 1 2002

Keywords

  • CIN
  • Cost effectiveness
  • Cytology
  • Endocervical curettage
  • Leep

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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