Endocervical and metaplastic cells: comparison of endocervical and metaplastic cell number in Papanicolaou smears with and without squamous intraepithelial lesion
Izadi Mood, N.; Mozaffari Miandoab, H.
Acta Cytologica 50(2): 178-180
2006
ISSN/ISBN: 0001-5547 PMID: 16610685 Document Number: 598651
Objective To compare, with a retrospective study, endocervical and metaplastic cell number to identify the cytology of squamous intrapithelial lesion (SIL) of the cervix.Study Design Cytology files from March 2000 to March 2003 were reevaluated, and those with SIL were identified.Results In 8,741 cervicovaginal smears were found 70 (0.8%) SIL smears (39 low grade, 31 high grade) and 140 randomly selected smears without squamous or glandular abnormalities that were not atrophic or unsatisfactory. Endocervical and metaplastic cells counted in these smears and then classified into 5 groups were compared with each other.Conclusion Women with smears containing endocervical cells are not at greater risk for SIL than those with smears lacking these cells. Women with smears containing metaplastic cells are more likely to have SIL than those without metaplastic cells. In addition, high grade lesions are more likely in smear containing more metaplastic cells.