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자료유형
학술저널
저자정보
Chen, Hua (Department of Obstetric and gynecology, Gongli hospital) Shu, Hui-Min (Department of Obstetric and gynecology, Gongli hospital) Chang, Zhou-Lin (Department of Obstetric and gynecology, Gongli hospital) Wang, Zhi-Feng (Department of Obstetric and gynecology, Gongli hospital) Yao, Hai-Hong (Department of Obstetric and gynecology, Gongli hospital) Zhu, Hong-Mei (Department of Obstetric and gynecology, Gongli hospital) Lu, Tian-Mei (Department of Obstetric and gynecology, Gongli hospital) Ma, Qiang-Yan (Department of Obstetric and gynecology, Gongli hospital) Yang, Bin-Lie (Department of Obstetric and gynecology, the people's hospital of the Pudong new area)
저널정보
아시아태평양암예방학회 Asian Pacific journal of cancer prevention : APJCP Asian Pacific journal of cancer prevention : APJCP 제13권 제4호
발행연도
2012.1
수록면
1,651 - 1,655 (5page)

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Background: Our aim was to investigate the efficacy of the Pap test in combination with the ThinPrep cytological test (TCT) in screening for cervical cancer in China. Design: From March 2006 to October 2008, 988 women with the mean age $46.4{\pm}10.5$ years (range, 23-80 years) were recruited to receive cervical cancer screening. Pap test results ${\geq}$ grade III and TCT findings ${\geq}$ ASCUS/AGUS were considered abnormal. Subjects with a Pap test result ${\geq}$ grade IIb received TCT. Colposcopy and biopsies were performed in all participants, and final diagnosis was based on pathological findings. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and Youden index for predicting CIN I or above were determined. Results: The sensitivity, specificity, PPV, NPV and Youden index of the Pap test were 43.1%, 97.2%, 70.0%, 91.9%, and 40.3%, respectively. The same values for TCT in predicting CIN were 80.0%, 63.2%, 16.0%, 97.3%, and 43.2%, respectively. The two tests in combination gave values for predicting CIN of 64.8%, 87.6%, 43.6%, 94.4%, and 53.5%, respectively. Combined testing exhibited the highest Youden index (53.4%). Conclusion: The Pap test with a reduced threshold in combination with the TCT has high sensitivity and high specificity in screening for cervical cancer.

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