In a study involving 13 842 women and 113 gynaecologists, liquid-based cytology and HPV testing for detecting cervical cancer were compared. A total of 1334 women were found to be positive for one or both tests and were invited for colposcopy with biopsy. A total of 1031 satisfactory biopsies on 1031 women were thereafter collected using a systematic biopsy protocol, which was random in the colposcopically normal-appearing cervix or directed in the abnormal one. In all, 502 women with negative tests were also biopsied. A total of 82 histologic high-grade squamous intraepithelial lesion (HSIL) were reported in biopsies, all from the group with one or both tests positive. Sensitivity and specificity to detect histologic HSIL were 59 and 97% for cytology, and 97 and 92% for HPV. In total, 14% of reviewed negative cytological preparations associated with histologic HSIL contained no morphologically abnormal cells despite a positive HPV test. This suggested a theoretical limit for cytology sensitivity. HPV viral load analysis of the 1143 HPVpositive samples showed a direct relationship between abnormal Pap test frequency and HPV viral load. Thus, not only does the HPV testing have a greater sensitivity than cytology but the probability of the latter being positive can also be defined as a function of the associated HPV viral load.

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We report for the first time in Switzerland a clinical case because of Diphyllobothrium dendriticum, identified by molecular methods. We discuss the potential for this imported species to infect local intermediate hosts and thus to achieve autochthonous cyclic transmission.

The study demonstrated that the diagnostic accuracy for cervical cancer and its precursors was improved by using the liquid-based Pap test as a primary diagnostic procedure and HPV assay as an adjunctive test. This information may assist the clinicians in triaging patients with equivocal cytologic cervical atypias.

Development of the Filaria Monanema martini in the epidermis of ixodid ticks.SUMMARY. Morphological and histological analysis of the larval development of Monanema martini, a filaria with skin dwelling microfilariae. The vectors are the hexapod larvae of Rhipicephalus sanguineus, R. turanicus and H. truncatum ; the filarial infective stages appear during the larval-nymph moult of the vector (11 days at 26° C). This species, and in our opinion the other species of Monanema, have a complete development in the epidermis of the ticks. Hard-ticks (Ixodidae) appear to be the main vectors of filariae with skin-dwelling micro filariae belonging to Dipetalonema evolutionary line: Yatesia, Cherylia, Cercopithifilaria, Monanema.