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CIN treatment and follow‐up Part 2 of the European guidelines for clinical management of abnormal cytology (Jordan et al., p. 5) provide cytologists with the low‐down on the various types of treatment for CIN, with definitions of LLETZ, LEEP, SWETZ and NETZ among others. The guidelines tell us that "there is no clear evidence suggesting that the diagnostic performance of cytology in combination with colposcopy for the detection of persistent disease after treatment for CIN is superior to cytology alone’’ and we read in Aerssens et al. (p. 27) ‘‘that cytology remains the cornerstone in the early follow‐up after LEEP for CIN lesions of the cervix.’’ Although ``HPV testing increased the sensitivity of cytology in concomitant testing during the first 6 months'' it decreased specificity from 70.5% to 65%. It looks as though we will still have jobs. The boundary between HSIL and LSIL An article by Hunter et al., (see p. 17) got the Cytopathology editorial team thinking about the rather indistinct boundary between high‐grade and low‐grade dyskaryosis and about whether the BSCC should think of a better solution than low‐grade, cannot exclude high‐grade (LSIL‐H). Hunter et al explain rather convincingly that it is different from atypical
Cytopathology – Wiley
Published: Feb 1, 2009
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