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Four cases were chosen for their classic morphology and the remainder were foreseen to produce possible discrepancies within one diagnostic category. For 7\/20 (35%) cases there was unanimous agreement. Participants disagreed within one category of magnitude for seven (35%) cases. In six (30%) cases there was a range of more than one category disagreement. However, additional written comments modifying TBS diagnoses often diminished the clinical significance of these discrepancies. We conclude that despite the important role of TBS in standardization of Pap smear reports, a great degree of subjectivity exists in classifying squamous abnormalities without \u201cclassic\u201d morphology. The lack of reproducibility should be taken into account in cytology proficiency testing. Diagn Cytopathol 1994;11:352\u2013357. \u00a9 1994 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/dc.2840110408","type":"journal-article","created":{"date-parts":[[2007,2,22]],"date-time":"2007-02-22T03:39:40Z","timestamp":1172115580000},"page":"352-357","source":"Crossref","is-referenced-by-count":49,"title":["Interobserver variability of cervical smears with squamous\u2010cell abnormalities: A philadelphia study"],"prefix":"10.1002","volume":"11","author":[{"given":"Nancy A.","family":"Young","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonya","family":"Naryshkin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara F.","family":"Atkinson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hormoz","family":"Ehya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prabodh K.","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tilde S.","family":"Kline","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronald D.","family":"Luff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,7,12]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1001\/jama.1989.03430070079034","article-title":"The 1988 Bethesda System for reporting cervical\/vaginal cytologic diagnoses","volume":"262","author":"National Cancer Institute Workshop.","year":"1989","journal-title":"JAMA"},{"key":"e_1_2_1_3_2","first-page":"57","volume-title":"Health Care Financing Administration, Department of Health and Human Services","year":"1992"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(71)90297-3"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/030089168807400620"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.26.8.564"},{"key":"e_1_2_1_7_2","first-page":"794","article-title":"Intraobserver and interobserver variability in the diagnosis of epithelial abnormalities in cervical smears","volume":"32","author":"Klinkhamer PJJM","year":"1988","journal-title":"Acta Cytol"},{"key":"e_1_2_1_8_2","first-page":"58","article-title":"Retrospective evaluation of gynecologic cytodiagnosis. 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