New diagnostic reporting format for endometrial cytology based on cytoarchitectural criteria.
New diagnostic reporting format for endometrial cytology based on cytoarchitectural criteria.
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DOI：
10.1111/j.1365-2303.2008.00581.x
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发表时间：
2009-12
期刊：
影响因子：
--
通讯作者：
Shiraishi T
中科院分区：
文献类型：
--
作者：
Yanoh K;Norimatsu Y;Hirai Y;Takeshima N;Kamimori A;Nakamura Y;Shimizu K;Kobayashi TK;Murata T;Shiraishi T
本研究的目的是开发一种新的子宫内膜细胞学报告格式，使诊断标准和报告术语标准化。在以前的研究中，细胞结构标准被发现是有用的子宫内膜病变的细胞学评估。为了应用这些标准，必须提供适当的细胞学标本。在这篇文章中，一个足够的子宫内膜细胞学标本的新的诊断标准的要求进行了讨论。然后，诊断标准，标准化的常规和细胞结构的标准相结合，提出。第三，可以使用的术语，不仅用于报告的组织病理学诊断，但也为妇科医生提供更好的指导，以确定进一步的临床行动，介绍。使用58例子宫内膜细胞学检查对拟定的报告格式进行了研究，与随后的子宫内膜活检或手术标本的组织病理学诊断相比，这些病例在细胞学上被低估或高估。在这58个案例中，有12个案例被重新评估为不满意。在剩下的46例中，27例中的25例被低估，随后在组织病理学检查中被诊断为子宫内膜癌或前体阶段，被重新评估为建议进行子宫内膜活检。另一方面，19例被细胞学高估的病例均被重新评估为不需要活检。本文提出的子宫内膜细胞学报告格式可能会提高诊断准确性，减少不适当管理的患者数量。
The aim of this study was to develop a new reporting format for endometrial cytology that would standardize the diagnostic criteria and the terminology used for reporting. In previous studies, cytoarchitectural criteria were found to be useful for the cytological assessment of endometrial lesions. To apply these criteria, an appropriate cytological specimen is imperative. In this article, the requirements of an adequate endometrial cytological specimen for the new diagnostic criteria are first discussed. Then, the diagnostic criteria, standardized on a combination of conventional and cytoarchitectural criteria, are presented. Third, terminology that could be used, not only for reporting the histopathological diagnosis, but also for providing better guidance for the gynaecologist to determine further clinical action, is introduced. The proposed reporting format was investigated using endometrial cytology of 58 cases that were cytologically underestimated or overestimated compared to the histopathological diagnosis made on the subsequent endometrial biopsy or surgical specimens. Of the 58 cases, 12 were reassessed as being unsatisfactory for evaluation. Among the remaining 46 cases, 25 of the 27 cases, which had been underestimated and subsequently diagnosed as having endometrial carcinoma or a precursor stage on histopathological examination,were reassessed as recommended for endometrial biopsy. On the other hand, 19 cases overestimated by cytology were all reassessed as not requiring biopsy. The reporting format for endometrial cytology proposed in this article may improve diagnostic accuracy and reduce the number of patients managed inappropriately.
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影响因子：
1.3
作者：
Buccoliero, A. M.;Gheri, C. F.;Taddei, G. L.
通讯作者：
Taddei, G. L.
影响因子：
2
作者：
Norimatsu, Yoshiaki;Kouda, Hiromi;Ohno, Eiji
通讯作者：
Ohno, Eiji
影响因子：
1.3
作者：
Norimatsu, Yoshiaki;Shimizu, Keiko;Ohno, Eiji
通讯作者：
Ohno, Eiji
影响因子：
1.3
作者：
Shimizu, Keiko;Norimatsu, Yoshiaki;Sakurai, Masami
通讯作者：
Sakurai, Masami
影响因子：
3.4
作者：
SKAARLAND, E
通讯作者：
SKAARLAND, E