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Liquid-based collection methods for cervical cell evaluation

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By Sandy Jocoy, RN

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Liquid-based methods for collecting cervical cells and preparing them for laboratory evaluation are now available.

A sample of cervical cells is collected during a Pap test, and the cells are then rinsed in a liquid vial instead of being smeared on slides. The vials are taken to the laboratory, and a thin layer of the specimen is put on slides for microscopic examination. Only a small portion of the sample is used for the slide, so the remainder of the cell sample can be used for any additional testing, such as a human papillomavirus (HPV) test.

Some studies show that this method may be more sensitive in identifying abnormal cervical cell changes. However, these methods can produce false-positive results just like standard Pap tests. Not all laboratories provide this testing, but liquid-based methods are becoming more widely used. These methods cost more than standard Pap testing.

Credits

Author Sandy Jocoy, RN
Editor Kathleen M. Ariss, MS
Associate Editor Pat Truman, MATC
Primary Medical Reviewer Joy Melnikow, MD, MPH - Family Medicine
Specialist Medical Reviewer Kevin Holcomb, MD - Gynecologic Oncology
Last Updated January 5, 2009
Last Updated: 01/05/2009

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