May 13, 2010 <Back to Index>
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Georgios Nicholas Papanikolaou (or George Papanicolaou; Greek: Γεώργιος Παπανικολάου) (May 13, 1883, Kimi on the island of Evia, Greece, February 19, 1962) was a pioneer in cytology and early cancer detection. He studied at the University of Athens where he received his medical degree in 1904. Six years later he received his Ph.D. from the University of Munich, Germany, after he had also spent time at the universities of Jena and Freiburg. In 1913 he emigrated to the U.S. in order to work in the department of Pathology of New York Hospital and the Department of Anatomy at the Weill Medical College of Cornell University. He first reported that uterine cancer could be diagnosed by means of a vaginal smear in 1928, but the importance of his work was not recognized until the publication, together with Herbert Traut, of 'Diagnosis of Uterine Cancer by the Vaginal Smear' in 1943. The book discusses the preparation of the vaginal and cervical smear, physiologic cytologic changes during the menstrual cycle, effect of various pathological conditions, and the changes seen in the presence of cancer of the cervix and the endometrium of the uterus. He thus became known for his invention of Papanicolaou's test, now known as the Pap smear or Pap test, which is used worldwide for the detection and prevention of cervical cancer and other cytologic diseases of the female reproductive system. In 1961 he moved to Miami to develop the Papanicolaou Cancer Research Institute at the University of Miami, but died in 1962 prior to its opening. Dr. Papanicolaou was the recipient of the Albert Lasker Award for Clinical Medical Research in 1950. Papanikolaou's portrait was depicted on the obverse of the Greek 10,000 drachmas banknote of 1995-2001, prior to its replacement by the Euro. The
fact that malignant cells could be seen under the microscope was first
pointed out in a book on diseases of the lung, written by Walter Hayle
Walshe (1812-1892), professor and physician at University College
Hospital, London, in 1843. This fact was recounted by Papanikolaou. In
1923, Papanikolaou told an incredulous audience of physicians about the
technique of gathering cellular debris from the lining of the vaginal
tract and smearing it on a glass slide for microscopic examination as a
way to identify cervical cancer. That year he had undertaken a study of
vaginal fluid in women, in hopes of observing cellular changes over the
course of a menstrual cycle. In female guinea pigs, Papanicolaou had
already noticed cell transformation and wanted to corroborate the
phenomenon in human females. It happened that one of Papanicolaou's
human subjects was suffering from uterine cancer. Dr. Aurel Babeş, of Romania, made similar discoveries in the cytologic diagnosis of cervical cancer. Babeş's 1927 work, however, was published in the Proceedings of the Bucharest Gynecological Society, and it is unlikely that Papanicolaou was aware of it. At
a 1928 medical conference in Battle Creek, Michigan, Papanicolaou
introduced his low-cost, easily performed screening test for early
detection of the cancerous and precancerous cells. However, this
potential medical breakthrough was initially met with skepticism and
resistance from the scientific community. Papanicolaou's next
communication on the subject did not appear until 1941 when, with
gynecologist Herbert Traut, he published a paper on the diagnostic
value of vaginal smears in carcinoma of the uterus.
This was followed 2 years later by an illustrated monograph based on a
study of over 3000 cases. In 1954 he published another memorable work ,
The Atlas of Exfoliative Cytology, thus creating the foundations for
the modern specialty of Cytopathology. |