The clinical research of Thinprep Cytology Test (TCT) combined with HPV-DNA detection in screening cervical cancer

Y Liu, L Zhang, G Zhao, L Che, H Zhang… - Cellular and Molecular …, 2017 - cellmolbiol.org
Y Liu, L Zhang, G Zhao, L Che, H Zhang, J Fang
Cellular and Molecular Biology, 2017cellmolbiol.org
Our objective is to explore the clinical value of thinprep cytologic test (TCT) combined with
HPV-DNA detection in screening cervical cancer. 420 cervical cancer patients admitted in
our hospital between April, 2011-April, 2014 were selected. All patients received TCT and
HPV-DNA detection, and cervical tissue biopsy was used to confirm the diagnosis. TCT
screening results showed that there were 175 patients were> ASCUS and the positive rate
was 41.7%, histopathological screening showed that there were 199 patients were ≥ …
Abstract
Our objective is to explore the clinical value of thinprep cytologic test (TCT) combined with HPV-DNA detection in screening cervical cancer. 420 cervical cancer patients admitted in our hospital between April, 2011-April, 2014 were selected. All patients received TCT and HPV-DNA detection, and cervical tissue biopsy was used to confirm the diagnosis. TCT screening results showed that there were 175 patients were> ASCUS and the positive rate was 41.7%, histopathological screening showed that there were 199 patients were ≥ cervical intraepithelial neoplasia (CIN) I and the positive rate was 47.4%. HPV-DNA detection showed 180 patients were positive which was 42.9%, and the positive rate of HPV-DNA detection was increased as the disease severity increased. The sensitivity of TCT combined with HPV-DNA detection was higher than single TCT or HPV-DNA, however the specificity was relatively low, and the positive predictive value and negative predictive value were higher which were similar to pathological results. TCT combined with HPV-DNA detection has high sensitivity and accuracy in screening cervical cancer, which is worthy of clinical application.
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