国内细胞学一直比较混乱，各个医院习惯和要求都不一样，一部分医院，随看随手就将阴性片仍到垃圾桶了；部分医院，阴性片保留两个星期；保留一个月；两个月；半年。

现在统一规定：细胞学阴性片，保留一年。细胞学医生们，有什么想法谈谈看。

 哪里有正确的特异性和敏感性的数据？国内有几家医院能够站出来说：我们数据最准确。

看看发报告的人员资质，就知道很多数据都是假的，不准确的。没有多大意义。

 Occasionally noticed this topic and feel interested.

I pasted some related regulation in the USA here for your reference.

A regulation implementing CLIA, 42 C.F.R. §493.1105(a)(7), provides that, with an exception for use in proficiency testing, cytology slide preparations must be retained "for at least 5 years from the date of examination."  These include negative Pap test slides.

Three forms of slide re-examination for quality control:

1. Prospective rescreening of 10% of negative cases (10% rescreen). This is mainly for slides cytotecnicians/cytotechnologists screened. The rescreening must be done by a technical supervisor (TS), a general supervisor, or a cytotechnologists with 3 years of full-time experience in the past 10 years.

2. Retrospective review of all negative Paps from women with a newly diagnosed HSIL: 5-year looback.

3.Review of discrepancies between Pap and biopsy results.

Now you know how luck you are. There is no evidence if you throw away the slides after the diagnosis. No person can claim you that you might make wrong diagnosis in future. It is good for pathologists. Do you think it is fair for patients? Do you think it is good in term of learing?

In the US cytotechnicians/cytotechnologists, pathologists or cytopathologists are very cautious to sign out the Paps.

http://www.ipathology.com.cn/forum/forum_display.asp?keyno=135975

请看这里。

 文件规定：细胞学阴性涂片保留一年！

原先看完就随手扔掉了。

还是按照规定办事的好，对自己也是个保护