The distribution of nucleolar organizer regions (NORs) was studied in
Papanicolaou preparations of cervical smears in order to distinguish b
enign from preneoplastic lesions. Destained smears (six defined as nor
mal, six as inflammatory with squamous metaplasia, six as CIN I, six a
s CIN II, and five as CIN III) were submitted to the Ag-NOR method aft
er staining with Orange G and EA36. Ag-NOR count was performed in prev
iously outlined fields on the smears. Statistically significant differ
ences (P < .05) were found between the normal smears, inflammatory sme
ars with squamous metaplasia, and each grade of CIN. We conclude that
the Ag-NOR technique could be useful to evaluate cervical smears of do
ubtful interpretation, using previous demarcation of the abnormal fiel
ds/cells. (C) 1997 Wiley-Liss, Inc.