Int J Biol Markers ( 2010; 3 ): 117-125 25 -
117Original article offers a unique tool for etiological studies, studies on the natural history and molecular pathways of carcinogenesis, evaluation of screening and vaccination effectiveness, and the evaluation of early biomarkers (viral DNA, RNA or proteins, or immunological, genetic or other biological host factors) usable in cancer screening or triage of screen positives. Even when, in the future, detection of nucleic acids of human papillomaviruses would become the standard screening methodology, collection of cellular material will be needed to perform HPV tests. Removal of coverslips from archived conventional Pap smears, extraction of DNA from scraped cells or from microdissected dyskaryotic cells, DNA amplification of human or viral genomic sequences and HPV genotyping have been demonstrated to be feasible in previous studies (2-6). Liquid-based cytology (LBC) is a newer method of preparing cervical cytology samples. Collected cells are transferred in a fluid fixative and evenly dispersed across slides (7). Importantly, the leftover sample contains large amounts of fixed cells with well-preserved morphology,
INTRODUCTIONEvery year, tens of millions of cervical cell samples are obtained within the European Union. In countries with well organized cervical cancer screening, the 10-year cumulative attendance rate is well above 90% of all women belonging to the target age range. The average number of smears planned over a lifetime varies among member states: from 7 in Finland and the Netherlands to more than 50 in Germany, Austria and Luxembourg (1). Cervical cell samples are usually stored for 5 to 10 years for medicolegal or quality-control reasons. Certain European laboratories have archived series of Pap smears over several decades. This makes archival cervical samples a valuable resource for research where genetic susceptibility, exposure to external etiological factors as well as outcome (cervical and other malignancies) can be documented through the link with cancer registries.A cervical cytology biobank (CCB) linked to a screening registry, a cancer registry and a HPV vaccination registry