Бетесда классификация. Шейка матки.

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THE BETHESDA SYSTEM

SPECIMEN TYPE
Indicate

  • conventional smear (Pap smear)
  • vs. liquid-based preparation
  • vs. other.


SPECIMEN ADEQUACY

  • Satisfactory for evaluation (describe presence or absence of endocervical/transformation zone component and any other quality indicators, e.g., partially obscuring blood, inflammation, etc.)
  • Unsatisfactory for evaluation …(specify reason)
  • Specimen rejected/not processed (specify reason)
  • Specimen processed and examined, but unsatisfactory for evaluation of epithelial abnormality because of (specify reason)


GENERAL CATEGORIZATION (optional)

  • Negative for Intraepithelial Lesion or Malignancy
  • Other: See Interpretation/result (e.g., endometrial cells in a woman >= 40 years of age)
  • Epithelial Cell Abnormality: See Interpretation/result (specify ‘squamous’ or ‘glandular’ as appropriate)


INTERPRETATION/RESULT

NEGATIVE FOR INTRAEPITHELIAL LESION OR MALIGNANCY,
(when there is no cellular evidence of neoplasia, state this in the General Categorization above and/or in the Interpretation/Result section of the report, whether or not there are organisms or other non-neoplastic findings).
- ORGANISMS:
   * Trichomonas vaginalis
   * Fungal organisms morphologically consistent with Candida spp
   * Shift in flora suggestive of bacterial vaginosis
   * Bacteria morphologically consistent with Actinomyces spp.
   * Cellular changes consistent with Herpes simplex virus

- OTHER NON NEOPLASTIC FINDINGS (Optional to report; list not inclusive):
   * Reactive cellular changes associated with
      - inflammation (includes typical repair)
      - radiation
      - intrauterine contraceptive device (IUD)
   * Glandular cells status post hysterectomy
   * Atrophy

OTHER
- Endometrial cells (in a woman >= 40 years of age)
(Specify if ‘negative for squamous intraepithelial lesion’)


EPITHELIAL CELL ABNORMALITIES
- SQUAMOUS CELL
   * Atypical squamous cells
      - of undetermined significance (ASC-US)
      - cannot exclude HSIL (ASC-H)
   * Low grade squamous intraepithelial lesion (LSIL)
   (encompassing: HPV/mild dysplasia/CIN 1)
   * High grade squamous intraepithelial lesion (HSIL)
   (encompassing: moderate and severe dysplasia, CIS, CIN 2
   and CIN 3)
      - with features suspicious for invasion (if invasion
        is suspected)
   * Squamous cell carcinoma

- GLANDULAR CELL
   * Atypical
      - endocervical cells (not otherwise specified (NOS) or specify in comments),
      - endometrial cells (NOS or specify in comments),
      - glandular cells (NOS or specify in comments)
   * Atypical
      - endocervical cells, favor neoplastic
      - glandular cells, favor neoplastic
   * Endocervical adenocarcinoma in situ
   * Adenocarcinoma:
      - endocervical
      - endometrial
      - extrauterine
      - not otherwise specified (NOS)


OTHER MALIGNANT NEOPLASMS: (specify)

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