Problems in the cytology of screening cervical cancer

We assessed the slides and investigated how to use the cytology in 383 cases of cervical dysplasia and cancer at the first clinic for clarifying the problems in the cytology in screening for cervical cancer. The results are as follows. 1) Cytology was performed in 93.7% of all cases. 2) A cotton swab was used in 65.1%, and a “cytopick” in 34.9%. 3) Two slides were used in 68.8%. 4) 27.2% of the slides offered by the first clinic were unsatisfactory for evaluation. 5) Classification of the cytology suggested the right pathological diagnosis in 47.4% and screening by cytology tended toward underdiagnosis. 6) 36.4% of the slides offered by the first clinic were underdiagnosed by our re-observation. 7) Cervical cancer was found in 26% of the cases classed cytologically as type Ilia. These cases had to be examined at a higher level, so 16.5% of them were followed up only with cytology. We believe that the clinician must make an effort to become skillful in picking up and establishing and maintaing the process of examination for the purpose of advancing cytology