PMID- 20701064 OWN - NLM STAT- MEDLINE DCOM- 20100826 LR - 20221207 IS - 0884-6812 (Linking) VI - 32 IP - 3 DP - 2010 Jun TI - Assessment of fluorescence in situ hybridization and hybrid capture 2 analyses of cervical cytology specimens diagnosed as low grade squamous intraepithelial lesion for the detection of high grade cervical intraepithelial neoplasia. PG - 121-30 AB - OBJECTIVE: To assess Hybrid Capture 2 (HC2) and fluorescence in situ hybridization (FISH) for the detection of cervical intraepithelial neoplasia 2 or worse (CIN 2+) in patients with a cytologic diagnosis of low grade squamous intraepithelial lesion (LSIL). STUDY DESIGN: Residual samples from 115 LSIL-diagnosed cervical cytology specimens were evaluated by high-risk human papillomavirus (HR-HPV) HC2 testing and FISH using biotin-labeled probes to HR-HPV and chromosomal probes to 3q26 (TERC) and 8q24 (CMYC). A cervical biopsy diagnosis of CIN 2+ was considered as evidence of high grade disease. RESULTS: The positive and negative predictive values of HC2 and FISH for detecting patients with CIN 2+ were 32% vs. 37% and 100% vs. 93%, respectively. The sensitivities of HC2 and FISH for CIN 2+ were not significantly different (100% vs. 90%, p = 0.25), while the specificity of HC2 was significantly lower than that of FISH (28% vs. 48%, p=0.003). FISH diagnosed fewer specimens as positive as compared to HC2 (62% vs. 79%). CONCLUSION: These preliminary data suggest that FISH testing may be useful for determining which patients with LSIL are most likely to have CIN 2+ on clinical follow-up. FAU - Voss, Jesse S AU - Voss JS AD - Department of Laboratory Medicine and Pathology, Mayo Clinic and Foundation, Rochester, Minnesota 55905, USA. FAU - Kipp, Benjamin R AU - Kipp BR FAU - Campion, Michael B AU - Campion MB FAU - Sokolova, Irina A AU - Sokolova IA FAU - Henry, Michael R AU - Henry MR FAU - Halling, Kevin C AU - Halling KC FAU - Clayton, Amy C AU - Clayton AC LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Anal Quant Cytol Histol JT - Analytical and quantitative cytology and histology JID - 8506819 RN - 0 (DNA, Neoplasm) RN - 0 (DNA, Viral) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Chromosome Aberrations MH - DNA, Neoplasm/analysis MH - DNA, Viral/analysis MH - False Positive Reactions MH - Feasibility Studies MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Middle Aged MH - Papillomaviridae/genetics/isolation & purification MH - Papillomavirus Infections/*diagnosis/virology MH - Predictive Value of Tests MH - ROC Curve MH - Uterine Cervical Neoplasms/*diagnosis/virology MH - Vaginal Smears MH - Young Adult MH - Uterine Cervical Dysplasia/*diagnosis/virology EDAT- 2010/08/13 06:00 MHDA- 2010/08/27 06:00 CRDT- 2010/08/13 06:00 PHST- 2010/08/13 06:00 [entrez] PHST- 2010/08/13 06:00 [pubmed] PHST- 2010/08/27 06:00 [medline] PST - ppublish SO - Anal Quant Cytol Histol. 2010 Jun;32(3):121-30.