Mistakes in cytopathology

Implementing liquid-based gynecologic cytology

“…The finding of dramatically decreased AGUS cases also has been noted in two other recently reported direct‐to‐vial experiences4, 9 and could reflect an unappreciated risk management problem for the new methodology. Fortunately for the Lehigh Valley laboratory, one of the authors has considerable well documented experience with risk management and liability issues 10. In the experience reported at HNL, there may be other reasons for concern, because literally no cases of carcinoma (glandular or squamous) were diagnosed by the cytology service over a 2‐year period in > 41,000 cases, a remarkable finding and one confirmed by the lead author.…”