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Efficacy of Manual Liquid Based Cytology over Conventional Cytology in Oral Squamous Cell Carcinoma

Received: 20 February 2015    Accepted: 23 February 2015    Published: 3 August 2015
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Abstract

Context/Background: Oral cytology has come long way from its primitive Papanicolau days. Liquid Based cytology has shown significant advantages over conventional exfoliative cytology. However, LBC requires expensive automated devices and materials which might not be affordable for many cytopathological laboratories in countries with limited resources. Manual liquid Based Cytology (MLBC) is a technique that enables cells to be suspended in a monolayer and thus improves detection of lesions and improvement of adequacy. Aim: To study and evaluate the diagnostic efficiency and reliability of MLBC in comparison with conventional PAP smear (CPS) of oral squamous cell carcinoma. Materials and Methods: Two smear were prepared from 50 patients, clinically diagnosed with Oral Squamous Cell Carcinoma. Each smear was subjected to MLBC and CPS methods. The slides were evaluated by two pathologists for the staining characterstics of nucleus and cytoplasm. The diagnostic efficiency of each smear was evaluated by comparing the cytological diagnosis of each method with histopathological diagnosis. Results: Increased detection rate with MLBC was 29.41%. Identifying cellular atypia by MLBC was more sensitive (44%) compared to CPS (34%) with similar specificity (100%). The percentage agreement by the two methods was 77.28%. Conclusion: MLBC is an easy, cost effective technique comparable to CPS; however, it warrants further study in its potential application in screening of oral precancer and cancer.

Published in Science Journal of Clinical Medicine (Volume 4, Issue 4-1)

This article belongs to the Special Issue Latest Different Concepts of Gynaecology

DOI 10.11648/j.sjcm.s.2015040401.13
Page(s) 11-15
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Conventional Pap Smear, Manual Liquid Based Cytology, Oral Cytology, Oral Squamous Cell Carcinoma

References
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[3] Pektas , Z.Ö., A. Keskin, Ö. Günhan, and Y. Karslioglu. 2006. Evaluation of nuclear morphometry and DNA ploidy status for detection of malignant and premalignant oral lesions: quantitative cytologic assessment and review of methods for cytomorphometric measurements. J Oral Maxillofacsurg64 (4):628-635.
[4] Fedele S. Diagnostic aids in the screening of oral cancer. Head Neck Oncol. 2009;1:5
[5] Acha A, Ruesga MT, Rodríguez MJ, Martínez de Pancorbo MA, Aguirre JM. Applications of the oral scraped (exfoliative) cytology in oral cancer and precancer. Med Oral Patol Oral Cir Bucal.2005;10:95-102.
[6] Mashberg, A., and L.J. Feldman. 1988. Clinical criteria for identifying early oral and oropharyngeal carcinoma: Erythroplasia revisited+. Am J Surg 156 (4):273-275.
[7] Maraki, D., J. Becker, and A. Boecking. 2004. Cytologic and DNA cytometric very early diagnosis of oral cancer. J Oral Pathol Med 33 (7):398-404.
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[9] Hayama FH, Motta CF, Silva A, Migliari DA. Liquid-based preparations versus conventional cytology: specimen adequacy and diagnostic agreement in oral lesions. Med Oral Patol Oral Cir Buccal 2005;10:115-22.
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[13] Maksem JA, Finnomore M, Belsheim BL, et al (2001). Manual method for liquid based cytology. A demonstration using 1,000 Gynaecological cytologies collected directly to vial and prepared by a smear – slide technique. Diagn Cytopathology, 25, 334-8.
[14] Rajendran R, Shivpathasundharam B. Shafer’s Textbook of Oral Pathology. 6th edition. New Delhi: Elsevier; 2009.
[15] Mehrotra R. Oral cytology. 12th ed. Springer; 2013. p.5.
[16] Sherwani RK, Khan T, Akhtar K, Zeba A, Siddiqui FA, Rahman K, Afsan N. Conventional Pap Smear and Liquid Based Cytology for Cervical Cancer Screening – A Comparative Study. Journal of Cytology 2007;24(4):167-172
[17] Deshou H, Changhua W, Quiyan L, et al (2009). Clinical utility of LiquiPrep cytology system for primary cervical cancer screening in a large urban hospital setting in China. J Cytology, 26, 20-5.
[18] Johnson T, Maksem JA, Belshein BL, et al (2000). Liquid based cervical cell collection with brushes and wooden spatulas. Diagn Cytopathol, 22, 86-91.
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  • APA Style

    Sudhir Mishra, Jagadish Hosmani, Nandini Manoli, Ramakant Nayak, Manjunath G. V. (2015). Efficacy of Manual Liquid Based Cytology over Conventional Cytology in Oral Squamous Cell Carcinoma. Science Journal of Clinical Medicine, 4(4-1), 11-15. https://doi.org/10.11648/j.sjcm.s.2015040401.13

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    ACS Style

    Sudhir Mishra; Jagadish Hosmani; Nandini Manoli; Ramakant Nayak; Manjunath G. V. Efficacy of Manual Liquid Based Cytology over Conventional Cytology in Oral Squamous Cell Carcinoma. Sci. J. Clin. Med. 2015, 4(4-1), 11-15. doi: 10.11648/j.sjcm.s.2015040401.13

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    AMA Style

    Sudhir Mishra, Jagadish Hosmani, Nandini Manoli, Ramakant Nayak, Manjunath G. V. Efficacy of Manual Liquid Based Cytology over Conventional Cytology in Oral Squamous Cell Carcinoma. Sci J Clin Med. 2015;4(4-1):11-15. doi: 10.11648/j.sjcm.s.2015040401.13

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  • @article{10.11648/j.sjcm.s.2015040401.13,
      author = {Sudhir Mishra and Jagadish Hosmani and Nandini Manoli and Ramakant Nayak and Manjunath G. V.},
      title = {Efficacy of Manual Liquid Based Cytology over Conventional Cytology in Oral Squamous Cell Carcinoma},
      journal = {Science Journal of Clinical Medicine},
      volume = {4},
      number = {4-1},
      pages = {11-15},
      doi = {10.11648/j.sjcm.s.2015040401.13},
      url = {https://doi.org/10.11648/j.sjcm.s.2015040401.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.s.2015040401.13},
      abstract = {Context/Background: Oral cytology has come long way from its primitive Papanicolau days. Liquid Based cytology has shown significant advantages over conventional exfoliative cytology. However, LBC requires expensive automated devices and materials which might not be affordable for many cytopathological laboratories in countries with limited resources. Manual liquid Based Cytology (MLBC) is a technique that enables cells to be suspended in a monolayer and thus improves detection of lesions and improvement of adequacy. Aim: To study and evaluate the diagnostic efficiency and reliability of MLBC in comparison with conventional PAP smear (CPS) of oral squamous cell carcinoma. Materials and Methods: Two smear were prepared from 50 patients, clinically diagnosed with Oral Squamous Cell Carcinoma. Each smear was subjected to MLBC and CPS methods. The slides were evaluated by two pathologists for the staining characterstics of nucleus and cytoplasm. The diagnostic efficiency of each smear was evaluated by comparing the cytological diagnosis of each method with histopathological diagnosis. Results: Increased detection rate with MLBC was 29.41%. Identifying cellular atypia by MLBC was more sensitive (44%) compared to CPS (34%) with similar specificity (100%). The percentage agreement by the two methods was 77.28%. Conclusion: MLBC is an easy, cost effective technique comparable to CPS; however, it warrants further study in its potential application in screening of oral precancer and cancer.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Efficacy of Manual Liquid Based Cytology over Conventional Cytology in Oral Squamous Cell Carcinoma
    AU  - Sudhir Mishra
    AU  - Jagadish Hosmani
    AU  - Nandini Manoli
    AU  - Ramakant Nayak
    AU  - Manjunath G. V.
    Y1  - 2015/08/03
    PY  - 2015
    N1  - https://doi.org/10.11648/j.sjcm.s.2015040401.13
    DO  - 10.11648/j.sjcm.s.2015040401.13
    T2  - Science Journal of Clinical Medicine
    JF  - Science Journal of Clinical Medicine
    JO  - Science Journal of Clinical Medicine
    SP  - 11
    EP  - 15
    PB  - Science Publishing Group
    SN  - 2327-2732
    UR  - https://doi.org/10.11648/j.sjcm.s.2015040401.13
    AB  - Context/Background: Oral cytology has come long way from its primitive Papanicolau days. Liquid Based cytology has shown significant advantages over conventional exfoliative cytology. However, LBC requires expensive automated devices and materials which might not be affordable for many cytopathological laboratories in countries with limited resources. Manual liquid Based Cytology (MLBC) is a technique that enables cells to be suspended in a monolayer and thus improves detection of lesions and improvement of adequacy. Aim: To study and evaluate the diagnostic efficiency and reliability of MLBC in comparison with conventional PAP smear (CPS) of oral squamous cell carcinoma. Materials and Methods: Two smear were prepared from 50 patients, clinically diagnosed with Oral Squamous Cell Carcinoma. Each smear was subjected to MLBC and CPS methods. The slides were evaluated by two pathologists for the staining characterstics of nucleus and cytoplasm. The diagnostic efficiency of each smear was evaluated by comparing the cytological diagnosis of each method with histopathological diagnosis. Results: Increased detection rate with MLBC was 29.41%. Identifying cellular atypia by MLBC was more sensitive (44%) compared to CPS (34%) with similar specificity (100%). The percentage agreement by the two methods was 77.28%. Conclusion: MLBC is an easy, cost effective technique comparable to CPS; however, it warrants further study in its potential application in screening of oral precancer and cancer.
    VL  - 4
    IS  - 4-1
    ER  - 

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Author Information
  • Department of Oral Pathology and Microbiology, Rajiv Gandhi University, Belgaum, karnataka, India

  • Department of Oral Pathology and Microbiology, Rajiv Gandhi University, Belgaum, karnataka, India

  • Department of Pathology, JSS University, Mysore, karnataka, India

  • Department of Oral Pathology and Microbiology, Rajiv Gandhi University, Belgaum, karnataka, India

  • Department of Pathology, JSS University, Mysore, karnataka, India

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