2016 Volume 55 Issue 1 Pages 1-6
Objective : The Bethesda System 2001 sets standard values for accuracy management in cervical cytology. We examined whether or not these values are applicable as reference values for medical centers.
Study Design : We compiled reports on cervical cytology from 9 medical centers and 1 laboratory that was intended only for screenings, and compared the accuracy management items between the clinical facilities and screening facility.
Results : The rate of ASC was higher in the clinical facilities than at the screening facility, although the rates of ASC-H (ASC-H/ASC rate) and ASC/SIL were similar among the ASC reports from the two types of facilities. However, the ASC-H/ASC rate was higher than the standard values at the clinical facilities. We calculated the rate of SIL as a percentage of the total cases, and divided the study centers into 2 groups : centers with a high SIL rate and those with a low SIL rate. However, no significant difference of the accuracy management items was noted between the 2 groups.
Conclusion : For accuracy management of cervical cytology performed at medical centers, there is a need to set standard values that are different from those used for screening.
