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The Interpretive Variability of Cervical Biopsies and Its Relationship to HPV Status.


ABSTRACT: Diagnostic interpretation of a cervical biopsy is a key element in the decision to treat or not to treat a woman with an abnormal screening test. This study assesses the variability of these diagnostic interpretations on a population basis using the New Mexico HPV Pap Registry database. An experienced panel of gynecologic pathologists reviewed a stratified random sample of 6272 biopsies, which was then extrapolated to the entire population of 21,297 biopsies read by the community pathologists. Diagnoses by the community and panel pathologists were compared, and paired diagnoses were correlated with positivity for human papillomavirus 16 (HPV16) and any high-risk HPV as objective measures of progressive potential. Panel agreement with the community diagnosis was 38.2% for cervical intraepit

SUBMITTER: Stoler MH 

PROVIDER: S-EPMC4428379 | biostudies-literature | 2015 Jun

REPOSITORIES: biostudies-literature