PATHOLOGIST VARIATION IN REPORTING CERVICAL BORDERLINE EPITHELIAL ABNORMALITIES AND CERVICAL INTRAEPITHELIAL NEOPLASIA

被引:54
作者
CREAGH, T
BRIDGER, JE
KUPEK, E
FISH, DE
MARTINBATES, E
WILKINS, MJ
机构
[1] ROYAL HOSP WOLVERHAMPTON,DEPT HISTOPATHOL,WOLVERHAMPTON WV2 1BT,ENGLAND
[2] ST MARYS HOSP,SCH MED,ACAD DEPT PUBL HLTH,LONDON,ENGLAND
[3] E SURREY HOSP,DEPT HISTOPATHOL,REDHILL,SURREY,ENGLAND
关键词
CERVICAL INTRAEPITHELIAL NEOPLASIA; VARIATION; DIAGNOSIS;
D O I
10.1136/jcp.48.1.59
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
Aims - To evaluate the interobserver variation in the diagnosis of cervical intraepithelial lesions, including the new category ''borderline abnormalities of uncertain significance'' (BAUS) which has not been tested before. Methods - Biopsy specimens of 122 patients were reviewed by five histopathologists and the diagnoses subjected to Ic statistical analysis. Results - There was poor interobserver agreement in all categories, particularly between BAUS and normal tissue. Conclusions - The current guidelines for the histological diagnosis of cervical intraepithelial neoplasia and BAUS are poorly reproducible.
引用
收藏
页码:59 / 60
页数:2
相关论文
共 7 条
[1]   CURRENT VIEWS ON CERVICAL INTRAEPITHELIAL NEOPLASIA [J].
ANDERSON, MC ;
BROWN, CL ;
BUCKLEY, CH ;
FOX, H ;
JENKINS, D ;
LOWE, DG ;
MANNERS, BTB ;
MELCHER, DH ;
ROBERTSON, AJ ;
WELLS, M .
JOURNAL OF CLINICAL PATHOLOGY, 1991, 44 (12) :969-978
[2]   CERVICAL INTRA-EPITHELIAL NEOPLASIA [J].
BUCKLEY, CH ;
BUTLER, EB ;
FOX, H .
JOURNAL OF CLINICAL PATHOLOGY, 1982, 35 (01) :1-13
[3]   EQUIVALENCE OF WEIGHTED KAPPA AND INTRACLASS CORRELATION COEFFICIENT AS MEASURES OF RELIABILITY [J].
FLEISS, JL ;
COHEN, J .
EDUCATIONAL AND PSYCHOLOGICAL MEASUREMENT, 1973, 33 (03) :613-619
[4]  
Fleiss JL, 2003, STAT METHODS RATES P, P598
[5]   OBSERVER VARIATION IN HISTOPATHOLOGICAL DIAGNOSIS AND GRADING OF CERVICAL INTRAEPITHELIAL NEOPLASIA [J].
ISMAIL, SM ;
COLCLOUGH, AB ;
DINNEN, JS ;
EAKINS, D ;
EVANS, DMD ;
GRADWELL, E ;
OSULLIVAN, JP ;
SUMMERELL, JM ;
NEWCOMBE, RG .
BRITISH MEDICAL JOURNAL, 1989, 298 (6675) :707-710
[6]   OBSERVER VARIABILITY IN HISTOPATHOLOGICAL REPORTING OF CERVICAL BIOPSY SPECIMENS [J].
ROBERTSON, AJ ;
ANDERSON, JM ;
BECK, JS ;
BURNETT, RA ;
HOWATSON, SR ;
LEE, FD ;
LESSELLS, AM ;
MCLAREN, KM ;
MOSS, SM ;
SIMPSON, JG ;
SMITH, GD ;
TAVADIA, HB ;
WALKER, F .
JOURNAL OF CLINICAL PATHOLOGY, 1989, 42 (03) :231-238
[7]  
SCHNEIDER V, 1989, CLIN OBSTET GYNAECOL, V32, P1358