Resumen

NUNEZ TROCONIS, José et al. Citologías cervico-vaginales no satisfactorias en el Hospital “Manuel Noriega Trigo” de Maracaibo. Rev Obstet Ginecol Venez [online]. 2013, vol.73, n.1, pp.33-39. ISSN 0048-7732.

Objective: To determinate the percentage of unsatisfactory Pap smears at Manuel Noriega Trigo Hospital. Methods: Pap smears studied by the Service of Pathology were reviewed retrospectively between November 2008 and December 2009. Results: One hundred twenty six (8 %) of 1 566 Pap smears were reported unsatisfactory. The most common cause of unsatisfactory vaginal cytology was the lack of patient´s identification (n=53, 36.8 %), obscuring smear inflammation (n=31, 21.5 %) and blood (n=26, 18.1 %). Seventeen Pap smear (14.3 %) had several causes to be considered non satisfactory. Eighty (63.5 %) of 126 Pap smear unsatisfactory were negatives to malignancy. Forty (31.7 %) of 126 Pap smear unsatisfactory could not be analyzed neither the cytotechnogist nor the pathologist; they represented 2.6 % of the 1566 Pap smear. Thirty three Pap smear (2.1 %) did not have endocervical cells. Hospital “Manuel Noriega Trigo” (n=63.50 %), El Silencio (n=31, 24.6 %) and El Caujaro (n=17, 13.5 %) have higher number of unsatisfactory vaginal cytologies, however, proportionally El Silencio (31 of 133 Pap smear, 23.3 %) and El Caujaro (17 of 115 Pap smear, 14.8 %) had higher unsatisfactory Pap smears. Conclusion: The percentage of unsatisfactory Pap smears was acceptable when we analyzed causes such as the technique of collection of the Pap smear, the staining technique, and the study of the slide. The number of endocervical cells was low even though the endocervical collection sample was taken with a cotton swab, maybe because Pap smear were taken by medical doctors

Palabras clave : Conventional Pap smear; unsatisfactory Pap smear; The Bethesda System; Manuel Noriega Trigo Hospital.

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