Tm sIofi3PIcnmcK or no? PKKsRlu!K OP ENWCERIIICAL CKLLS ON rn~~~ PCPOLAl’IOM. 0. R. Stmkosch, m5Wi9”e. LO.. Dept. of Pediatrics, Rusn-

luke’o lledicsll Canter, Chicago. end Christ dirxl Center, a* Lwn. IlumiS. * lnvsutl9ate the influence of the presence tina Pap amam on the detection of cervical

PathaloYy in 4n R retrospective review was corui”etoa of 368 tillned in an adoIFscant clinic between June 17, 1987 and a” . All Pap smears rare read by a board ~atiifled patholo9iot at a teachinq hmpital. 811 rs*u1ts were lnoDrilraOll&l&OZ~tO that emtsimd chsck borres as wall as a eectlon for nurative . One of the check boxes reguired an

f the fxOne1KB 01 tmsa of wAocs~ical calls on the snear. D wara Bstmimd (u routine maming ‘tests on females at their h the clinic or for their sti@qaent annual examination. The

_s Camxsfan. middle class, ~awally active, and with a aean aqe Of In year*. missens ware mllbcted by pediatric residents or adoloscwt fellcu tralrvaea using an endocanical swab and cervical sparnla te~iv&l”a after first ofataininp an an&cervical NltYee.

160 (43%) of the ?6S eaar” ccutaimd endccervicel cells. 34 (21%) of Lb 160 meam are ab+mrsal (31 with atvpia and 3 with dysplasia). 19 (19%) of the 208 a wit&at andaervical cells war3 ab~zal takypie only>.

59le sensitivity of ths different thetwagrarpa. dations to

tely repeat the Pap e original d not contain end~corvical cells solely to obtain a seaa= with

andocarvical reua “ill net iwpmve the sensitivity Of tke test.