The Utility of Fallopian Tube Cytology in the Early Detection of Extrauterine Serous Gynecological Malignancies: A Narrative Literature Review.

IF 1.6 4区医学 Q3 PATHOLOGY Acta Cytologica Pub Date : 2023-01-01 Epub Date: 2023-04-12 DOI:10.1159/000530600

Victoria Psomiadou, Sofia Lekka, Theodoros Panoskaltsis, Helen Tsouma, Natasa Novkovic, Helen J Trihia, Olympia Tzaida, Dimitrios Korfias, Panagiotis Giannakas, Christos Iavazzo, Christos Papadimitriou, Nikolaos Vlahos, George Vorgias

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Abstract

Introduction: The aim of the study was to analyze the published evidence for the use of fallopian tube brush cytology for the early detection of extrauterine serous gynecological cancer.

Methods: We systematically searched the literature and, additionally, cross-checked on the bibliographies of selected articles. The inclusion criteria involved studies assessing the utility of fallopian tube brush cytology and its applications in the diagnosis, screening, or follow-up of extrauterine serous gynecological cancer.

Results: The search strategy resulted in 21 abstracts or full-text articles, 5 of which met the inclusion criteria. The year of publication ranged from 2016 to 2022, and a total of 193 fallopian tube samples were investigated. Cytobrush, Tubebrush©, and Cytuity™ were used to obtain salpingeal samples for liquid-based cytology evaluation.

Conclusions: Our findings indicate that, at present, there is a lack of satisfying evidence-based data in the literature which would support the implementation of fallopian tube brush cytology as an adjunctive tool for early detection of extrauterine serous gynecological cancer. Thus, we believe that there is need for well-designed clinical studies to assess the effectiveness and diagnostic accuracy of the method as well as to validate the cytological criteria for the diagnosis and prediction of gynecological malignancies.

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输卵管细胞学在早期检测子宫外浆液性妇科恶性肿瘤中的应用：叙述性文献综述。

引言：本研究的目的是分析已发表的输卵管刷细胞学早期检测子宫外浆液性妇科癌症的证据。方法：我们系统地检索文献，并对所选文章的参考书目进行交叉核对。纳入标准包括评估输卵管刷细胞学的实用性及其在子宫外浆液性妇科癌症诊断、筛查或随访中的应用的研究。结果：检索策略得到21篇摘要或全文文章，其中5篇符合入选标准。发表年份为2016年至2022年，共调查了193个输卵管样本。Cytobrush、Tubbush©和Cytuity™ 用于获得输卵管样本进行基于液体的细胞学评估。结论：我们的研究结果表明，目前文献中缺乏令人满意的循证数据来支持输卵管刷细胞学作为早期检测子宫外浆液性妇科癌症的辅助工具的实施。因此，我们认为有必要进行精心设计的临床研究，以评估该方法的有效性和诊断准确性，并验证妇科恶性肿瘤诊断和预测的细胞学标准。

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来源期刊

Acta Cytologica 生物-病理学

CiteScore

3.70

自引率

11.10%

发文量

审稿时长

4-8 weeks

期刊介绍： With articles offering an excellent balance between clinical cytology and cytopathology, ''Acta Cytologica'' fosters the understanding of the pathogenetic mechanisms behind cytomorphology and thus facilitates the translation of frontline research into clinical practice. As the official journal of the International Academy of Cytology and affiliated to over 50 national cytology societies around the world, ''Acta Cytologica'' evaluates new and existing diagnostic applications of scientific advances as well as their clinical correlations. Original papers, review articles, meta-analyses, novel insights from clinical practice, and letters to the editor cover topics from diagnostic cytopathology, gynecologic and non-gynecologic cytopathology to fine needle aspiration, molecular techniques and their diagnostic applications. As the perfect reference for practical use, ''Acta Cytologica'' addresses a multidisciplinary audience practicing clinical cytopathology, cell biology, oncology, interventional radiology, otorhinolaryngology, gastroenterology, urology, pulmonology and preventive medicine.