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Korean Journal of Obstetrics & Gynecology 1997;40(10):2241-2245.
Published online January 1, 2001.
The Significance of Cervical Erosion with Benign Cellular Change on Papanicolaou Smear.
Mee Jeong Joeng, Kum Ja Park, Kook Young Yoo
Department of Obstetrics and Gynecology, Park Women's Clinic, Korea.
Abstract
The significance of cervical erosion with benign cellular change on Papanicolaou smear has not been evaluated. A retrospective review of 430 coloscopically directed punch biopsies performed over 15 months revealed 206 cases who had a benign cellular change on cytologic smear. Of these 206 smears, 48(23%) had clear cervix without erosion, 99(48%) had mild erosion on cervix, 41(20%) had moderate cervical erosion and 18(9%) had severe cervical erosion. The false negative rate that revealed more than mild dysplasia on histologic diagnosis was 2% in patients without cervical erosion, 3% in patients with mild cervical erosion, 5 % in patients with moderate cervical erosion, and 11% in patients with severe cervical er- osion. Koilocytotic change that suggested human papilloma virus infection was 17% in each group regardless cervical erosion. In conclusion, benign cellular change on Pap smears in patients with severe cervical erosion may be associated with significant cervical cancer pathology.
Key Words: Papanicolaou smear, Benign cellular change, Cervical erosion


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