Evidence map›Paper›PMID 36345619›Full record

ArticleJournal of pathology and translational medicine2022

Diagnostic distribution and pitfalls of glandular abnormalities in cervical cytology: a 25-year single-center study.

Jung-A Sung, Ilias P Nikas, Haeryoung Kim, Han Suk Ryu, Cheol Lee

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Article in Journal of pathology and translational medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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4 citing papers in PubMed.

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5 · Who and what money

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5 authors.

Jung-A SungDepartment of Pathology, Seoul National University College of Medicine, Seoul, Korea.
Ilias P NikasSchool of Medicine, European University Cyprus, Nicosia, Cyprus.
Haeryoung KimDepartment of Pathology, Seoul National University College of Medicine, Seoul, Korea.
Han Suk RyuDepartment of Pathology, Seoul National University College of Medicine, Seoul, Korea.
Cheol LeeDepartment of Pathology, Seoul National University College of Medicine, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDetection of glandular abnormalities in Papanicolaou (Pap) tests is challenging. This study aimed to review our institute's experience interpreting such abnormalities, assess cytohistologic concordance, and identify cytomorphologic features associated with malignancy in follow-up histology.

methodsPatients with cytologically-detected glandular lesions identified in our pathology records from 1995 to 2020 were included in this study.

resultsOf the 683,197 Pap tests performed, 985 (0.144%) exhibited glandular abnormalities, 657 of which had tissue follow-up available. One hundred eighty-eight cases were cytologically interpreted as adenocarcinoma and histologically diagnosed as malignant tumors of various origins. There were 213 cases reported as atypical glandular cells (AGC) and nine cases as adenocarcinoma in cytology, yet they were found to be benign in follow-up histology. In addition, 48 cases diagnosed with AGC and six with adenocarcinoma cytology were found to have cervical squamous lesions in follow-up histology, including four squamous cell carcinomas. Among the cytomorphological features examined, nuclear membrane irregularity, three-dimensional clusters, single-cell pattern, and presence of mitoses were associated with malignant histology in follow-up.

conclusionsThis study showed our institute's experience detecting glandular abnormalities in cervical cytology over a 25-year period, revealing the difficulty of this task. Nonetheless, the present study indicates that several cytological findings such as membrane irregularity, three-dimensional clusters, single-cell pattern, and evidence of proliferation could help distinguishing malignancy from a benign lesion.

Indexed as

CytopathologyEarly detection of cancerGlandular and epithelial neoplasmsPapanicolaou testUterine cervical neoplasms

Identifiers

PMID36345619
PMCPMC9682225

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