Evidence map›Paper›PMID 34345247›Full record

ReviewCytoJournal2021

Squamous intraepithelial lesions (SIL: LSIL, HSIL, ASCUS, ASC-H, LSIL-H) of Uterine Cervix and Bethesda System.

Ahmed Alrajjal, Vaishali Pansare, Moumita Saha Roy Choudhury, Mir Yousufuddin Ali Khan, Vinod B Shidham

Abstract readReview
In one paragraph

Review in CytoJournal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Statins as Repurposed Drugs in Gynecological Cancer: A Review.International journal of molecular sciences · 2022
    Pooled it
  4. Medicina (Kaunas, Lithuania) · 2022
    Trial
  5. Article
  6. High Burden ofMicroorganisms · 2026
    Article
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  8. Article
  9. Article
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  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Observational
  17. Article
  18. Article
  19. Article
  20. Review

15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ahmed AlrajjalDepartment of Pathology, Wayne State University School of Medicine, Karmanos Cancer Center, Detroit Medical Center, Detroit, Michigan, United States.
Vaishali PansareDepartment of Pathology, Beaumont Grosse Pointe, Grosse Pointe, Michigan, United States.
Moumita Saha Roy ChoudhuryDepartment of Pathology, Wayne State University School of Medicine, Karmanos Cancer Center, Detroit Medical Center, Detroit, Michigan, United States.
Mir Yousufuddin Ali KhanDepartment of Pathology, Wayne State University School of Medicine, Karmanos Cancer Center, Detroit Medical Center, Detroit, Michigan, United States.
Vinod B ShidhamDepartment of Pathology, Wayne State University School of Medicine, Karmanos Cancer Center, Detroit Medical Center, Detroit, Michigan, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

For every 100,000 women in the United States, eight new cervical cancer cases and two deaths are reported as per the most recent (2017) Center of Disease Control and Prevention statistics. Of all the gynecologic cancers (ovary, uterus, cervix, vagina, and vulva), only cervical cancer has a screening test. Cervical Pap test (or Pap smear) is the best screening method for cervical precancerous lesions and is best reported using a unified and a well-established reporting system like The Bethesda System. In this system, "Epithelial cell abnormality: Squamous" includes squamous intraepithelial lesion (SIL) category which encompasses a spectrum of squamous cell lesions starting from the precancerous lesions of low-grade SIL (LSIL) to high-grade SIL (HSIL), and ultimately invasive squamous cell carcinoma. However, depending on the qualitative and quantitative limitations with the specimen, some equivocal morphological features suggestive of squamous cell abnormality may fall under equivocal category: "Atypical Squamous Cells" (ASCs), which are subdivided into two categories; "Atypical Squamous Cells of Undetermined Significance" (ASC-US) or "Atypical Squamous Cells, HSIL cannot be excluded" (ASC-H), based on the suspected underlying lesion LSIL versus HSIL, respectively. This review provides the key cytologic features that distinguish Bethesda squamous categories from other important entities, using algorithmic approach and illustrations of common cytomorphologic patterns for clear identification of those entities in practice. The important mimickers which may be considered during the differential interpretation of SIL are discussed and presented here in a brief cytomorphologic review.

Indexed as

Cervical cancerCervical cytologyCervical intraepithelial neoplasiaHPVHuman papilloma virusPap test

Identifiers

PMID34345247
PMCPMC8326095

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.