Abstract:

Aim: Servical cancer is a preventable disease, which manifests as prior lesions that can turn into invasive cancers. Servico-vaginal sitologies are important in early diagnosis. We aim to offer the sitopathologic findings of servico-vaginal smear according to 2001 Bethesda System in view of updated knowledge. Materials methods: In our study, the 5961 case reports diagnosed according to Bethesda System in Mustafa Kemal University Laboratuary of Pathology between 2005-2007 have been reviewed. Results: Of 11946 cases, the findings in servico-vaginal smear were as fallows: ASC-US (Atipical Squamous Cells-Undetermined Significance) 0.92%, ASC-H (Atipical Squamous Cells-Cannot Exclude High Grade Squamous Intraepithelial Lesions) 0.1%, LSIL(Low Grade Squamous Intraepithelial Lesion) 0.08%, HSIL (High Grade Squamous Intraepithelial Lesion) 0.07%, and malign cells 0.02%. The ratio of ASH to SIL (ASH:SIL) has been determined as 144:19. Conclusion: The cases of ASC-US, ASC-H, LSIL, HSIL and squamous cell carcinoma are relatively few. In determining the quality control in the laboratuary the ASH:SIL ratio is important. However, for a better evaluation, studies with wider series should be carried out.

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