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Korean Journal of Obstetrics & Gynecology 1997;40(2):360-365.
Published online January 1, 2001.
The Clinical Significance of the Detection of Human Papilloma Virus in the Patients with ASCUS in the Cervical Pap Smear.
Myung Yoon Koh, Sang Moo Cho, Sei Jun Han
Department of Obstetrics and Gynecology, College of Medicine, Cho-Sun University, Korea.
Abstract
OBJECTIVE
Our purpose was to determine the clinical value of human papilloma virus deoxyribonucleic acid testing with the hybrid capture test, specifically to examine whether human papillomavirus testing could identify which women with Papanicolaou smears read as atypical squamous cells of undetermined significance were most likely to have histologically confirmed cervical intraepithelial neoplasia. STUDY DESIGN: Hybrid capture testing for high-risk human paillomavirus types(type 31, 33, 35, 45, 51, 52, 56), repeat Papanicolaou smears and colposcopically directed biopsies were performed concurrently on 55 women refered to chosun university hospital with a previous Papanicolaou smear read as atypical squamous cells of undetermined significance. RESULTS: Human papillomavirus eoxyribonucleic acid positivity was associated with a six fold increased likelihood of histologic confirmation of cervical intraepithelial neoplasia. The sensitivity of hybrid capture for any cervical intraepithelial neoplasia was 92% (12/13) and specificity was 86%(36/42), whereas the corresponding values for the repeat Papanicilaou smear was 85%(11/13) and 38%(16/42), respectively. CONCLUSIONS: Testing for human papillomavirus deoxyribonucleic acid with hybrid capture appears to offer an effective means by which patients whose cervical Papanicolaou smears have been read as atypical squamous cells of undetermined significance could be triaged for colposcopy. In particular, high sensitivity and specificity for cervical intraepithelial neoplasia could be maintained.
Key Words: Atypical squamous cells of undetermained significance, Hybrid capture, human papillomavirus deoxyribonucleic acid testing, Cervical intraepithelial neoplasia


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