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

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.