Dear 掌心0164:

只是印象，没统计。LEEP和活检符合率估计70%吧。今天看了3个LEEP，和活检都符合。昨天看3个LEEP 2个符合，一个不符合(可能因为CIN2太小，completely removed by biopsy)。我的印象（没统计哈）应该包括所有活检，这儿ASC high risk HPV 阳性在20岁以上的病人很多医生都作宫颈镜和活检。

 我们这儿ASC+ 5-10%。  没统计，感觉细胞学和活检的符合率〉95%。我今天看了30+/-宫颈活检，只有一例不符合（pap HSIL, biopsies CIN 1).  We consider correlated if biopsy findings are the same or more severe than pap smears.  If the initial sections don't correlate with pap findings, i cut deeper.  We always have previous abnormal pap smears pulled out for biopsies. We always review the paps when the biopsies not correlated with paps.  If paps are HSIL signed out by myself, and no high grade lesion is seen  in biopsies, I also get a formal consultation from my colleagues and make sure i didn't overcall the pap.  Clinicians can do a diagnostic LEEP even when colposcopy and biopsies don't show high grade but pap is indeed HSIL.

Occasionally we don't have a pap in our file to correlate with the biopsy.  Sometimes i make a phone call to the clinicians' office to get the pap report from other lab.

I know things are quite complicated here.  Sorry. When i was in China, sometimes the clinician was suspicious for malignancy and did a biopsy. The initial sections didn't show anything.  I suggested to the signing out pathologist to cut the block deeper. He looked at me as if i was talking foreign language.  We have to do everything right and through here.  When things go wrong, we make sure things went wrong for the right reason.  If we did everything right and things still went wrong, too bad.  We feel sorry for the patient and we wouldn't loose a battle if we have to fight in court.

掌心0164：呵呵，每次看您的帖子心里特别感动，感觉您不管回复谁的帖子，

都是在用心回复，希望尽量能帮到别人......

我也是一直被很多老师帮助过的小学生，所以大家一起学习；谢谢您的鼓励！哈哈！

这个不好回答呵呵。

首先，国内很多医院的妇科自己出报告，我们没有第一手资料。

其次，部分医院病理科自己出报告者，必须做一个统计才好回答。

再次，传片的医院，从基层搜集过来的病例，都是外地随访起来非常困难。

 In our hospital, method: ThinPrep Pap

1. ASC-US rate 8%. It is a little high. People think the ascus rate should be less than 5%. We use the Computer-guided ThinPrep Imaging System which can increase the senstivity. The women will get reflex high risk HPV testing if dx is ascus. Pathologists feel afraid of law suit. Anyway we feel good about our current the positive rate

2.ASC-H rate 0.6%.

3. SIL rate 3%.

4. AGC rate 0.4%.

Hope more people share your data.

 我说说我个人诊断的吧：

1、计算ASC在内的门诊病人为9%左右（64/700），不算ASC的为（25/700）3.6%左右；体检病人算ASC在内为15/400=3.75%;不算ASC为1.25%（5/400）；这是我最近两个月的结果。（深圳的结果是很高了，也许很少有地方能有这么高的比率）。

2、活检组织学对照结果还没有出来我已经离开，所以没有办法告诉知道。

3、我了解深圳一家三甲医院计算ASC在内的门诊病人的为10%左右；高危HPV的阳性为17%左右。（所以开放的城市也有高疾病的风险呀）

No any response for the question. Why? It is good topic to discussion.

楼 主, please share yours.