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Subtyping borderline nuclear changes: is it of value in predicting high-grade cervical intraepithelial neoplasia on histology?

Lookup NU author(s): Dr Sarah Johnson, Dr Viney Wadehra


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The aim was to determine the association between the subtypes of borderline nuclear changes (BNC) in cervical smears and high-grade cervical intraepithelial neoplasia (HCIN). BNC was reported in 23 236 smears received in our laboratory over a 7-year period, 3278 patients were referred for colposcopy. Analysis was restricted to 2007 cases, which fitted the criteria of: ( 1) consistent subtyping of borderline change and ( 2) cervical histology result within 12 months of the last abnormal smear. BNC was reported in six categories and correlated with histology. Atypia bordering on dyskaryosis, atypical metaplastic cells and endocervical atypia, were associated with HCIN in 25%, 25.4% and 23.8% of cases, respectively. Dyskeratosis and koilocytotic atypia were associated with HCIN in 19.2% and 13.7% of cases, respectively. Some subtypes of borderline change are more frequently associated with HCIN. The difference is not sufficient to dictate clinical management.

Publication metadata

Author(s): Shanbhag S, Roberts M, Johnson SJ, Wadehra V

Publication type: Article

Publication status: Published

Journal: Cytopathology

Year: 2003

Volume: 14

Issue: 5

Pages: 241-248

ISSN (print): 0956-5507

ISSN (electronic): 1365-2303

Publisher: Wiley-Blackwell


DOI: 10.1046/j.1365-2303.2003.00074.x


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