the spanish society of cytology quality control program of gynecological cytology introduction in spain the guidelines for cervical cancer screening include a recommendation to enroll in external quality control programs the spanish society of cytology sec has initiated its own quality control program of gynecological cytology qcpgcaim to describe and discuss the results of the second round of ses qcpgcmaterial and method the cases are selected by a group of expert cytologists the cases with an agreement of 75 of four cytopathologists were used the cases were scanned with aperio the scanned cases not available were excluded we included a total of 23 cases 1 negative 15 low grade lesions 4 ascus and 11 lsil and 7 high grade lesions 1 asch and 6 hsil sixteen cases were studied with thinprep platform and in 7 cases the surepath platform was usedresults sixteen hospitals participated the global mean concordance was 706 the mean concordance in the type of lesion was 631 the concordance was 719 in negative diagnoses 562 in ascus 695 in lsil and 828 in hsil the discordant cases were diagnosed more frequently as negative and ascus 44 of cases had major discordances hsil or asch versus negativesconclusions our results are similar to those reported in the literature with very few severe discordances