{"id":26,"date":"2009-02-23T10:41:07","date_gmt":"2009-02-23T10:41:07","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/ginbethesda\/"},"modified":"2025-05-14T21:03:49","modified_gmt":"2025-05-14T21:03:49","slug":"ginbethesda","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/ginbethesda\/","title":{"rendered":"2001 Bethesda System Terminology"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><strong>Specimen Type:<\/strong> Indicate conventional smear (Pap smear) vs. liquid based vs. other<\/p>\n<p><strong>Specimen Adequacy<\/strong><\/p>\n<ul>\n<li>Satisfactory for evaluation (describe presence or absence of endocervical\/transformation zone component and any other quality indicators, e.g., partially obscuring blood, inflammation, etc.)<\/li>\n<li>Unsatisfactory for evaluation &#8230; (specify reason)\n<ul style=\"list-style-type: circle;\">\n<li>Specimen rejected\/not processed (specify reason)<\/li>\n<li>Specimen processed and examined, but unsatisfactory for evaluation of epithelial abnormality because of (specify reason)<br \/>\n<!--more--><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>General Categorization<\/strong> (optional)<\/p>\n<ul>\n<li>Negative for intraepithelial lesion or malignancy<\/li>\n<li>Epithelial cell abnormality: See interpretation\/result (specify \u2018squamous\u2019 or \u2018glandular\u2019 as appropriate)<\/li>\n<li>Other: See interpretation\/result (e.g. endometrial cells in a woman &gt; 40 years of age)<\/li>\n<\/ul>\n<p><strong>Automated Review<\/strong><\/p>\n<ul>\n<li>If case examined by automated device, specify device and result.<\/li>\n<\/ul>\n<p><strong>Ancillary Testing<\/strong><\/p>\n<ul>\n<li>Provide a brief description of the test methods and report the result so that it is easily understood by the clinician.<\/li>\n<\/ul>\n<p><strong>Interpretation\/Result<\/strong><\/p>\n<ul>\n<li><strong>Negative for Intraepithelial Lesion or Malignancy<\/strong> (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)<\/li>\n<\/ul>\n<p>Organisms:<\/p>\n<ul>\n<li>Trichomonas vaginalis<\/li>\n<li>Fungal organisms morphologically consistent with Candida species<\/li>\n<li>Shift in flora suggestive of bacterial vaginosis<\/li>\n<li>Bacteria morphologically consistent with Actinomyces species.<\/li>\n<li>Cellular changes consistent with Herpes simplex virus<\/li>\n<li>Other non neoplastic findings (Optional to report; list not inclusive):<\/li>\n<li>Reactive cellular changes associated with<\/li>\n<\/ul>\n<blockquote>\n<ul style=\"list-style-type: circle;\">\n<li>inflammation (includes typical repair)<\/li>\n<li>radiation<\/li>\n<li>intrauterine contraceptive device (IUD)<\/li>\n<\/ul>\n<\/blockquote>\n<ul>\n<li>Glandular cells status post hysterectomy<\/li>\n<li>Atrophy<\/li>\n<\/ul>\n<p><strong>Other<\/strong><\/p>\n<ul>\n<li>Endometrial cells (in a woman &gt; 40 years of age)<\/li>\n<\/ul>\n<blockquote>\n<ul style=\"list-style-type: circle;\">\n<li>(Specify if \u2018negative for squamous intraepithelial lesion\u2019)<\/li>\n<\/ul>\n<\/blockquote>\n<p><strong>Epithelial Cell Abnormalities<\/strong><\/p>\n<p>SQUAMOUS CELL<\/p>\n<ul>\n<li>Atypical squamous cells (ASC)<\/li>\n<\/ul>\n<blockquote>\n<ul style=\"list-style-type: circle;\">\n<li>of undetermined significance (ASC-US)<\/li>\n<li>cannot exclude HSIL (ASC-H)<\/li>\n<\/ul>\n<\/blockquote>\n<ul>\n<li>Low grade squamous intraepithelial lesion (LSIL)<\/li>\n<\/ul>\n<blockquote>\n<ul style=\"list-style-type: circle;\">\n<li>encompassing: HPV\/mild dysplasia\/cervical intraepithelial neoplasia (CIN) 1<\/li>\n<\/ul>\n<\/blockquote>\n<ul>\n<li>High grade squamous intraepithelial lesion (HSIL)<\/li>\n<\/ul>\n<blockquote>\n<ul style=\"list-style-type: circle;\">\n<li>encompassing: moderate and severe dysplasia, carcinoma in situ (CIS)\/CIN 2 and CIN 3<\/li>\n<li>with features suspicious for invasion (if invasion is suspected)<\/li>\n<\/ul>\n<\/blockquote>\n<ul>\n<li>Squamous cell carcinoma<\/li>\n<\/ul>\n<p>GLANDULAR CELL<\/p>\n<ul>\n<li>Atypical<\/li>\n<\/ul>\n<blockquote>\n<ul style=\"list-style-type: circle;\">\n<li>endocervical cells (NOS or specify in comments)<\/li>\n<li>endometrial cells (NOS or specify in comments)<\/li>\n<li>glandular cells (NOS or specify in comments)<\/li>\n<\/ul>\n<\/blockquote>\n<ul>\n<li>Atypical<\/li>\n<\/ul>\n<blockquote>\n<ul style=\"list-style-type: circle;\">\n<li>endocervical cells, favor neoplastic<\/li>\n<li>glandular cells, favor neoplastic<\/li>\n<\/ul>\n<\/blockquote>\n<ul>\n<li>Endocervical adenocarcinoma in situ (AIS)<\/li>\n<li>Adenocarcinoma<\/li>\n<\/ul>\n<blockquote>\n<ul style=\"list-style-type: circle;\">\n<li>endocervical<\/li>\n<li>endometrial<\/li>\n<li>extrauterine<\/li>\n<li>not otherwise specified (NOS)<\/li>\n<\/ul>\n<\/blockquote>\n<p><strong>Other Malignant Neoplasms: <\/strong>(specify)<\/p>\n<p><strong>Educational Notes and Suggestions<\/strong> (optional)<br \/>\nSuggestions should be concise and consistent with clinical follow-up guidelines published by professional organizations (references to relevant publications may be included).<\/p>\n<p>&nbsp;<\/p>\n<p><strong><br \/>\nReferences:<\/strong><\/p>\n<ol>\n<li>Solomon D, Davey D, Kurman R, Moriarty A, O&#8217;Connor D, Prey M, Raab S, Sherman M, Wilbur D, Wright T Jr, Young N; Forum Group Members; Bethesda 2001 Workshop. The 2001 Bethesda System: terminology for reporting results of cervical cytology. JAMA. 2002 Apr 24;287(16):2114-9. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11966386\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created: May 20, 2007<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[87],"tags":[1904,1905,1484,1844,494,507,1906,1907],"class_list":["post-26","post","type-post","status-publish","format-standard","hentry","category-obstetrics-gynecology","tag-1904","tag-bethesda","tag-gynecology","tag-obstetrics","tag-sistema","tag-system","tag-terminologia","tag-terminology"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/26","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=26"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/26\/revisions"}],"predecessor-version":[{"id":9050,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/26\/revisions\/9050"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=26"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=26"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=26"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}