Cytopathological findings on vaginal Papanicolaou smears after hysterectomy for benign gynecologic disease

Article Abstract:

Vaginal Pap smears for women who have had a hysterectomy should only be performed on those with a history of gynecological cancer or a precancerous condition called cervical intraepithelial neoplasia (CIN) type III. This was the conclusion of a study of 6,265 inner city women who had a vaginal Pap smear. A total of 5,682 had had a hysterectomy. Only 1.1% of the women had an abnormal vaginal Pap smear and none had vaginal cancer. Vaginal Pap smears are routinely done after hysterectomies, but about 1,000 women would have to be tested to detect one case of cervical disease.

Evaluation, Complications and side effects, Pap test, Hysterectomy, Vaginal cancer

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Diagnosis from the blood smear

Article Abstract:

The International Society Laboratory hematology has published consensus criteria for the laboratory-initiated review of blood smears on the basis of the results of the automated blood count. In comparison with the procedure for an automated blood count, the examination of a blood smear is a labor-intensive and therefore relatively expensive investigation and must be used judiciously.

United Kingdom, Care and treatment, Analysis, Anemia, Blood cell count

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Case 32-2003: A 37-year-old woman with atypical squamous cells on a Papanicolaou smear

Article Abstract:

The case of a 37-year-old woman is presented who had two Pap tests three months apart that showed atypical squamous cells of undetermined significance (ASCUS). She also tested negative for human papillomavirus, particularly the types that are usually associated with cervical cancer. Therefore, she was considered to have a low risk of developing cervical cancer.

Case studies

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