Abstract:
CONTEXT:Simple screening test for resource-challenged areas. AIMS:To compare specimen adequacy and diagnostic agreement between oral rinse-based smears and conventional smears in oral cancer, oral leukoplakia, and normal controls. SETTINGS AND DESIGN:Twenty-five histologically confirmed cases of oral cancer, 29 clinically diagnosed cases of oral leukoplakia, and 54 normal controls were subjected to the oral rub-and-rinse technique and the conventional exfoliative cytology. PATIENTS AND METHODS:Smears were consequently stained with the Papanicolaou (PAP) stain and were examined independently by two different cytopathologists in a double-blind fashion. The results were classified as: Negative, atypical, positive, and unsatisfactory. Furthermore, they were compared, to assess the sample adequacy, cellular distribution, staining, leucocytes/inflammation and cellular clarity in both the smears. STATISTICAL ANALYSIS USED:Chi square test and Wilcoxon-matched pairs signed rank test (P ≤ 0.05). RESULTS:Among the cancer cases, 84% showed positive, 8% atypical, and 8% unsatisfactory, after using the conventional technique, whereas, the oral rinse technique showed 80% positive, 16% atypical, and 4% unsatisfactory cases. The conventional technique showed 44.82, 37.93, and 6.89% and the oral rinse technique showed 48.27, 31.03, and 20.68% negative, positive, and atypical cases, respectively, among the leukoplakia cases. Among the normal controls, 9.26 and 90.74% and with the oral rinse technique 3.70 and 96.29% showed atypical and negative cases with the conventional technique. Sample adequacy and cellular clarity showed a statistically significant difference between both techniques. CONCLUSIONS:Both smears were diagnostically reliable, however, the oral rinse-based method showed an overall improvement in sample adequacy and cellular clarity.
journal_name
J Cancer Res Therjournal_title
Journal of cancer research and therapeuticsauthors
Mulki S,Shetty P,Pai Pdoi
10.4103/0973-1482.137910subject
Has Abstractpub_date
2015-01-01 00:00:00pages
129-35issue
1eissn
0973-1482issn
1998-4138pii
JCanResTher_2015_11_1_129_137910journal_volume
11pub_type
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