Revista medica del Instituto Mexicano del Seguro Social · 2018
[The ecologization of the Papanicolaou stain in the diagnosis of cervical cancer].
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Rojas-Zumaran Víctor, Moya-Salazar Jeel
Аннотация
BACKGROUND: Cervical cancer is the fourth most common cancer worldwide among women.
OBJECTIVE: To evaluate the implementation and efficiency of the Ecological Papanicolaou staining (Eco-Pap) in exfoliative cytology for the diagnosis of cervical cancer.
METHODS: A prospective, experimental, cross-sectional research was performed at the Hospital Nacional Docente Madre-Niño “San Bartolomé” during 2015. Three strategies for controlling toxic reagents were used: the use of progressive Harris haematoxylin, polychromatic cytoplasmic solution and direct mounting. Cellular details were analyzed by using the Quality Index Staining, the Bethesda system and the Quality Program for External Evaluation of Cytology.
RESULTS: We evaluated 72 901 cervical smears stained with Eco-Pap. The validation of Eco-Pap against the standard Papanicolaou staining had very good agreement (kappa = 0.89), showing a sensitivity and specificity of 88.3 and 98.7%, respectively (p < 0.05). The Eco-Pap had a high diagnostic yield and reduced environmental pollution caused by xylene (72 liters), hydrochloric acid and ammonia (each one with six liters), as well as mercury oxide.
CONCLUSIONS: The Eco-Pap is a new, efficient and innovative method which eliminates the use of toxic-carcinogenic reagents, generating ecological performance in the diagnosis of cervical cancer
OBJECTIVE: To evaluate the implementation and efficiency of the Ecological Papanicolaou staining (Eco-Pap) in exfoliative cytology for the diagnosis of cervical cancer.
METHODS: A prospective, experimental, cross-sectional research was performed at the Hospital Nacional Docente Madre-Niño “San Bartolomé” during 2015. Three strategies for controlling toxic reagents were used: the use of progressive Harris haematoxylin, polychromatic cytoplasmic solution and direct mounting. Cellular details were analyzed by using the Quality Index Staining, the Bethesda system and the Quality Program for External Evaluation of Cytology.
RESULTS: We evaluated 72 901 cervical smears stained with Eco-Pap. The validation of Eco-Pap against the standard Papanicolaou staining had very good agreement (kappa = 0.89), showing a sensitivity and specificity of 88.3 and 98.7%, respectively (p < 0.05). The Eco-Pap had a high diagnostic yield and reduced environmental pollution caused by xylene (72 liters), hydrochloric acid and ammonia (each one with six liters), as well as mercury oxide.
CONCLUSIONS: The Eco-Pap is a new, efficient and innovative method which eliminates the use of toxic-carcinogenic reagents, generating ecological performance in the diagnosis of cervical cancer