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ПАП-мазки (мазки по Папаниколау): классификация The Bethesda system (TBS), 2001 год

ПАП-мазки (мазки по Папаниколау): классификация The Bethesda system (TBS), 2001 год The 2001 Bethesda System for Reporting Cervical Cytologic Diagnoses


TABLE 1
The 2001 Bethesda System for Reporting Cervical Cytologic Diagnoses


Specimen adequacy
Satisfactory for evaluation
Presence or absence of endocervical or transformation zone components or other quality indicators such as partially obscuring blood or inflammation
Unsatisfactory for evaluation (specify reason)
Specimen rejected or not processed (specify reason)
Specimen processed and examined, but unsatisfactory for evaluation of epithelial abnormalities (specify reason)
General categorization (optional)
Negative for intraepithelial lesion or malignancy (NILM)
Epithelial cell abnormality
Other
Interpretation/result
Negative for intraepithelial lesion or malignancy
Organisms
Trichomonas vaginalis
Fungal organisms morphologically consistent with Candida species
Shift in flora suggestive of bacterial vaginosis
Bacteria morphologically consistent with Actinomyces species
Cellular changes consistent with herpes simplex virus
Other non-neoplastic findings (optional to report)
Reactive cellular changes associated with:
Inflammation (includes typical repair)
Radiation
Intrauterine contraceptive device
Glandular cells status posthysterectomy
Atrophy
Epithelial cell abnormalities
Squamous cell
Atypical squamous cells (ASC)
ASC of undetermined significance (ASC-US)
ASC, cannot exclude high-grade squamous intraepithelial lesion (ASC-H)
Low-grade squamous intraepithelial lesion (LSIL)
Encompassing: human papillomavirus, mild dysplasia, and cervical intraepithelial neoplasia (CIN) 1
High-grade squamous intraepithelial lesion (HSIL)
Encompassing: moderate and severe dysplasia, carcinoma in situ, CIN 2, and CIN 3
Squamous cell carcinoma
Glandular cell
Atypical glandular cells (AGC)
Specify endocervical, endometrial, or glandular cells not otherwise specified
Atypical glandular cells, favor neoplastic
Specify endocervical or not otherwise specified
Endocervical adenocarcinoma in situ (AIS)
Adenocarcinoma
Other (list not comprehensive)
Endometrial cells in a women 40 years or older
Automated review and ancillary testing (include if appropriate)
Educational notes and suggestions (optional)

Adapted with permission from Solomon D, Davey D, Kurman R, Moriarty A, O'Connor D, Prey M, et al. The 2001 Bethesda System: terminology for reporting results of cervical cytology. JAMA 2002;287:2116.


 


Теги: пап-мазок   папилломавирус человека   рак шейки матки   bethesda   жидкостная цитология   диспансеризация  


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