Abstract

HERRERA M, Mercedes; GRATEROL S, Ivis  and  LANDAETA A, Omar. Diagnostic quality of cytology exams in patients with premalignant and malignant lesions of the uterine cervix: Consults in the Palo Negro, State Aragua. Outpatient clinic from 2003 through 2005. Comunidad y Salud [online]. 2009, vol.7, n.2, pp.21-29. ISSN 1690-3293.

With the objective of estimating the accuracy of diagnostic in smears perform on patients with premalignant and malignant Uterine Cervix injuries in the ambulatory of Palo Negro, during the period of 2003-2005, an agreement study was performed based on the review of 60 smear and histological reports; obtaining the percentage of cytohistological agreements on a first observation. Afterwards, all non-agree cases were selected and were submitted to a second review by two specialists in the field, calculating the agreement intra and inter observer by applying the Kappa index. 85% of the evaluated smear samples were satisfactory, with 7,84% been associated to severe inflammation. 53,9% of squamous cell anomalies was represented by a low level LIE and 39% by the NIC I. The cytohistological agreement for a first revision was 41,7% corresponding 54,76% to the NIC I, with a Kappa index of -0.0746, wich is considered a poor agreement index. Likewise, a poor and weak agreement predominated in a second observation as it was necessary to implement corrective measures to improve the index of cytohistological agreements to obtain more reliable and more accurate diagnostics, hence improving the quality of smear diagnostic.

Keywords : Uterine Cervix Injuries; Citology; Diagnostic Accuracy.