False Negative Rate of Cervical Cytology Using the Autopap 300 QC System in Rescreening Modality

Hur, Kuol; Jung, Hwan Wook; Kim, Chang Heon; Lee, Dong Jin; Hong, Sung Ran; Lee, Ki Heon; Shim, Jae Uk; Park, Chong Taik; Park, In Sou

Abstract

OBJECTIVES: To estimate false-negative rate of cervical smears using Autopap 300 QC system in rescreening modality.
METHODS
From September 1997 to December 1997, Total 26,983 cervical smears were obtained and 18,592 cervical smears were rescreened by Autopap 300 QC system with 10% review rate. The 274 cases of total 26,983 cervieal smears were confirmed histologically by colposcopic biopsy, cone biopsy and hysterectomy. The 274 cases of cervical smears, which obtained prior to pathologic diagnosis made, were evaluated based on cyto-histologic correlation and then the false negative rate were estimated. The cervical smears were reviewed, researching for the cause of false negative.
RESULTS
(1) Histologic diagnosis of 274 cases include 65 cases of Low SIL, 173 cases of High SIL, 29 cases of SCC, 2 cases of adenocarcinoma in situ, and 5 cases of invasive adenocarcinoma. (2) The false negative rate were 3% (9/274). Those were 6.2%(4/65) of LSIL, 2.3% (4/173) Of HSIL, none of SCC and AIS, and 20%(5/1) of invasive adenocarcinoma. (3) The false negative cases were reviewed. The 6 cases were sampling enor and 3 cases were screening error.
CONCLUSION
Using AutoPap 300 QC system in rescreening modality, The false negative rate of cervical smears were decreased, compared with our previous study.