Interpreting a diagnosis of atypical squamous cells of undetermined significance in cervical cytology and its association with human papillomavirus : a retrospective analysis of 180 cases in Kuwait
Other Title(s)
تفسير تشخيص الخلايا الحرشفية اللاتمطية غير محددة الدلالة في شريحة خلايا عنق الرحم و ارتباطها بفيروس الورم الحليمي البشري : تحليل استعادي ل 180 حالة في الكويت
Joint Authors
Balakrishna, Meera
Ali, Rula Husayn
al-Juwaysir, Ahlam
Mallik, Mrinmay K.
Kapila, Kusum
George, Sara S.
Source
Sultan Qaboos University Medical Journal
Issue
Vol. 20, Issue 4 (30 Nov. 2020), pp.318-323, 6 p.
Publisher
Sultan Qaboos University College of Medicine and Health Sciences
Publication Date
2020-11-30
Country of Publication
Oman
No. of Pages
6
Main Subjects
Abstract EN
Objectives: Atypical squamous cells of undetermined significance (ASC-US) represent a diagnostic challenge during cervical cytology.
This study aimed to review and identify high-risk human papillomavirus (HR-HPV) genotypes among previously diagnosed ASC-US cases in Kuwait.
Methods: This retrospective study analysed 180 cases diagnosed as ASC-US between June 2017 and May 2018 at the Mubarak Al-Kabeer Hospital, Kuwait.
Cervical specimens were assayed to determine the presence of HR-HPV DNA; subsequently, positive cases underwent genotyping and were categorised into three groups (HPV 16, HPV 18/45 and other HR-HPV types).
Results: In total, ASC-US was confirmed in only 105 cases (58.3%), with the remaining cases reclassified as negative for intraepithelial lesions or malignancy (NILM; 32.2%) and epithelial cell abnormalities (ECA; 9.4%).
Of these, HRHPV DNA was present in 20 ASC-US (19%), one NILM (1.7%) and six ECA (35.3%) cases.
There were 62 Kuwaiti and 43 non-Kuwaiti women with confirmed ASC-US; of these, three (4.8%), six (9.7%) and four (6.5%) Kuwaitis and one (2.3%), one (2.3%) and five (11.6%) non-Kuwaitis had HPV 16, both HPV 16 and 18/45 and other HRHPV genotypes, respectively.
Of those with HR-HPV DNA, the NILM case had the HPV 18/45 genotype, while the six ECA cases had the HPV 16 (n = 1), both HPV 16 and 18/45 (n = 1) and other HR-HPV (n = 4) genotypes.
Conclusion: Overall, HR-HPV DNA was present in 19% of ASC-US cases compared to 1.7% of NILM cases initially misdiagnosed as ASC-US.
Re-review of cervical cytology diagnoses may reduce unnecessary costs associated with HR-HPV genotyping.
American Psychological Association (APA)
Kapila, Kusum& Balakrishna, Meera& Ali, Rula Husayn& al-Juwaysir, Ahlam& George, Sara S.& Mallik, Mrinmay K.. 2020. Interpreting a diagnosis of atypical squamous cells of undetermined significance in cervical cytology and its association with human papillomavirus : a retrospective analysis of 180 cases in Kuwait. Sultan Qaboos University Medical Journal،Vol. 20, no. 4, pp.318-323.
https://search.emarefa.net/detail/BIM-1342905
Modern Language Association (MLA)
Kapila, Kusum…[et al.]. Interpreting a diagnosis of atypical squamous cells of undetermined significance in cervical cytology and its association with human papillomavirus : a retrospective analysis of 180 cases in Kuwait. Sultan Qaboos University Medical Journal Vol. 20, no. 4 (Nov. 2020), pp.318-323.
https://search.emarefa.net/detail/BIM-1342905
American Medical Association (AMA)
Kapila, Kusum& Balakrishna, Meera& Ali, Rula Husayn& al-Juwaysir, Ahlam& George, Sara S.& Mallik, Mrinmay K.. Interpreting a diagnosis of atypical squamous cells of undetermined significance in cervical cytology and its association with human papillomavirus : a retrospective analysis of 180 cases in Kuwait. Sultan Qaboos University Medical Journal. 2020. Vol. 20, no. 4, pp.318-323.
https://search.emarefa.net/detail/BIM-1342905
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 322-323
Record ID
BIM-1342905