Cervical cancer screening by Liquid-based cytology with human papillomavirus deoxyribonucleic acid testing in Maharat Nakhon Ratchasima Hospital
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Abstract
Cervical cancer is the second most common in woman worldwide, Screening with the Papanicolaou cytology was performed and false negative more than 50%. Liquid-based cytology, new method has been increase the chance of detecting abnormal cells and human papillomavirus can be detected in this specimen. Objectives: The incidence of cervical cancer screening with LBC, the percentage of detected high-risk human papillomavirus types, age interval was detected virus and the incidence of follow up case in abnormal cells or had detected virus. Methods: A descriptive retrospective study was performed in cervical cancer screening by liquid-based cytology with human papillomavirus testing in Maharat Nakhon Ratchasima Hospital during the period 2009-12. Results: Cervical cancer screening with LBC was performed in total of 74 women (0.26%), 4 cases were abnormal cytology. 15 cases (20.27%) were detected high-risk human papillomavirus types and age interval was 50-59 years. Further investigated were done in 8/15 cases (53.33%), results were low grade lesions (4 cases) and negative intraepithelial lesions or malignancy (4 cases). Conclusion: Repeat test by liquid-based cytology with human papillomavirus testing in abnormal conventional pap smear help improve the efficiency and accuracy. Abnormal cytology or detect high-risk human papillomavirus types in primary cervical cancer screening cases, which of patients will be investigated further to determine disorders and help diagnosed faster. The result is accurate.
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