Use of a cervical brush for papanicolaou smear collection A meta-analysis

Bauman, Barbara J.

doi:10.1016/0091-2182(93)90105-p

Cited by 10 publications

(5 citation statements)

References 28 publications

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“…[15][16][17][18] A Pap smear with a spatula may be inadequate for endocervical cells retrieval, although the use of a cervical brush may increase detection of cervical dysplasia in these patients. 19,20 Regardless of etiology, the diagnosis of cervical stenosis is made by an inability to introduce a 2.5-mm or thinner Hegar dilator into the cervical canal. 4,5 Recently, digital colposcopy (Cooper Surgical, Shelton, CT) has provided an excellent way to measure the external os dimensions accurately.…”

Section: Casementioning

confidence: 99%

Cervical Stenosis: A Challenging Clinical Entity

Valle¹,

Sankpal²,

Marlow³

et al. 2002

Journal of Gynecologic Surgery

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Cervical stenosis can be a difficult clinical condition to treat effectively, and treatment may be followed by recurrences. Thirty-seven (37) women with this clinical diagnosis were evaluated and treated in our service over the last 5 years. Fifteen (15) women (43.2%) had previous cervical surgery such as conization, loop electrosurgical excision procedure (LEEP), or cervical laser vaporization and 11 had a history of diethylstilbestrol (DES) exposure. After treatment, 28 (75.5%) of these women obtained relief while in 24.5% no changes occurred. Four women (14.2%) had recurrence. Based on our experience, sequential progressive cervical dilatation under sonographic or laparoscopic control seems to add safety and effectiveness in the treatment of this condition. For those patients who develop recurrences, laser removal of a cervical central cylinder of tissue seems to provide the best results. Avoiding excessive trauma to the cervix with any surgical procedure should be paramount in decreasing chances of causing cervical stenosis, particularly in susceptible patients such as nulliparous and DES-exposed women. (J GYNECOL SURG 18:129)

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Section: Casementioning

confidence: 99%

Cervical Stenosis: A Challenging Clinical Entity

Valle¹,

Sankpal²,

Marlow³

et al. 2002

Journal of Gynecologic Surgery

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“…Our findings were similar to previous studies and meta-analysis which showed that a 'cytobrush' accompanied with 'spatula' is the most effective Pap smear device to detect cervical abnormalities. 8,9 In our experience the endocervical smears showed extensive mucoid background which often distorts the cellular morphology. This causes cell distortion and entrapment due to which clumped cells with poor spreading occurs leading to poor stain penetration is seen.…”

Section: Cellular Compositionmentioning

confidence: 68%

Comparison of quality parameters in conventional Pap smears made by endocervical brush smear and Ayre spatula

Bose

Acharya

Pradhan

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Background: Cervical Pap smear is a form of exfoliative cytology and has been widely accepted as a screening tool for cervical cancers. Among the various devices for collecting samples from cervix, wooden Ayre spatula and cytobrush are used commonly. Ayre spatula collects cells from the ectocervix whereas cytobrush from the transformation zone (TZ) and this study compares both techniques.Methods: A retrospective study was done by comparing two conventional Pap smears from all consecutive samples received in the cytopathology section of department of pathology (n=388); one with Ayre spatula and one with endocervical brush. They were compared for quality parameters like spreading and staining of cells, morphologic preservation, presence of TZ component, degree of inflammation, presence of infection and predominant cell population. Appropriate statistical analysis was performed.Results: The smears made out of Ayre spatula showed better spreading (p≤0.00001) and staining (p=0.00022) as compared with those made using endocervical brush. However, the morphological preservation was equally comparable in both. The TZ component was significantly higher in the endocervical brush smear (p=0.00001). Inflammation was comparable in both (p=0.1916). Infection was detected more in ectocervical smears (p=0.00001). The cytobrush smears showed a significantly higher detection rate of endocervical cells (p≤0.00001).Conclusions: Based on our study, we conclude that the use of both Ayre spatula and endocervical brush together ensures higher efficiency than using a single method.

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“…O estudo também corroborou os resultados daqueles que comprovaram a superioridade da combinação espátula-escova, quando defrontada com as espátulas modificadas 8,16 . Corroborou ainda os achados daqueles que demonstraram que a espátula de Ayre, utilizada isoladamente, é um método deficiente na produção de esfregaços satisfatórios 11,12 .…”

Section: Discussionunclassified