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題 名 | Human Papillomavirus Testing (Hyvrid CaptureⅡ) to Detect High-Grade Cervical Intraepithelial Neoplasia in Women with Mildly Abnorman Papanicolaou Results |
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作 者 | Chen, Hung-sheng; Yang, Yang-cheng; Su, Tsung-shien; Wang, Tao-yeuan; Huang, Yu-wen; | 書刊名 | Taiwanese Journal of Obstetrics & Gynecology |
卷 期 | 44:3 民94.09 |
頁 次 | 頁252-257 |
分類號 | 417.2832 |
關鍵詞 | Atypical squamous cells of undetermined significance; Human papillomavirus testing; Hybrid capture; Low-grade squamous intraepithelial lesions; |
語 文 | 英文(English) |
英文摘要 | Objective: To evaluate the clinical value of human papillomavirus (HPV) DNA testing (Hybrid Capture Ⅱ) in predicting which women with mild cervical cytologic abnormality (atypical squamous cells of undetermined significance [ASCUS] or low-grade squamous intraepithelial lesions [LSIL]) are most likely to have high-grade cervical intraepithelial neoplasia (CIN). Materials and Methods: A total of 266 women with mildly abnormal Papanicolaou (Pap) smear results (160 with ASCUS and 106 with LSIL) concurrently underwent Hybrid Capture II testing, repeat Pap smear, and colposcopy-directed biopsies. Results: Overall, the underlying prevalence of histologically confirmed CIN2/3 was 16.9% (27/160) in women with ASCUS and 29.2% (31/106) in those with LSIL. High-risk HPV DNA was detected in 55% and 88.7%, respectively. The sensitivity ofClN2/3 detection by HPV DNA was 96.3% (26/27) and 100% (31/31) among women with ASCUS and LSIL, respectively. Conclusion: A positive baseline HPV test in women with ASCUS or LSIL is clinically equivalent, requiring colposcopic examination and denoting an approximately one-third chance of having CIN2/3. Among women with ASCUS, a negative HPV test strongly indicates that the patient is free of ClN2/3, which should minimize a patient's anxiety and unnecessary colposcopic examinations. |
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