Liquid-based Papanicolaou smear, report by Bethesda system

Raport Conform Bethesda System

We remind you that independent interpretation of the results is unacceptable, the information provided below is for reference purposes only.

The Bethesda System (TBS) is a standardized system for reporting cervical cytology results. It was developed at the National Cancer Institute's workshop held in Bethesda, Maryland, in 1988. The system was designed to provide a uniform terminology and reporting format for interpreting Pap test results, allowing for better communication between laboratories, clinicians, and patients.

Classification of Cervical Cytology Results

The Bethesda System classifies cervical cytology results into the following categories:

1. Negative for Intraepithelial Lesion or Malignancy (NILM).

2. Epithelial Cell Abnormalities:

• Atypical Squamous Cells (ASC)
  • ASC-US (of undetermined significance)
  • ASC-H (cannot exclude a high-grade squamous intraepithelial lesion)
• Low-grade Squamous Intraepithelial Lesion (LSIL)
• High-grade Squamous Intraepithelial Lesion (HSIL)
• Squamous Cell Carcinoma

3. Other Malignant Neoplasms (e.g., adenocarcinoma, neuroendocrine tumors).

The Bethesda System also includes additional categories for reporting non-neoplastic findings and endometrial cells.

The Bethesda System provides a standardized approach to reporting cervical cytology results, facilitating effective communication and appropriate follow-up recommendations for patients with abnormal findings.

Role of Raport Conform Bethesda System

The Raport Conform Bethesda System is a standardized reporting system used for cervical cytology screening. It plays a crucial role in the evaluation and interpretation of Pap smear results, facilitating effective communication between healthcare professionals and guiding appropriate management decisions.

Indications for Raport Conform Bethesda System Analysis

The Raport Conform Bethesda System analysis is recommended for women who undergo regular cervical cancer screening or have abnormal cervical findings. It is typically performed as part of routine gynecological examinations or when specific indications arise, such as:

• Abnormal vaginal bleeding or discharge
• Positive human papillomavirus (HPV) test results
• Follow-up after an abnormal Pap smear result
• Evaluation of cervical lesions or abnormalities detected during a pelvic examination

Preparation for the Procedure

The preparation for the Raport Conform Bethesda System analysis is relatively straightforward and does not require any special measures. However, there are a few recommendations to consider:

• Diet: In most cases, the analysis can be performed either fasting or after eating. However, in some situations (e.g., for a comprehensive biochemical blood analysis), it may be necessary to observe an 8-12 hour fasting period before the test.
• Avoid physical exertion: It is advisable to avoid intense physical activity the day before the analysis, as it may affect the test results.
• Refrain from alcohol and smoking: It is recommended to abstain from alcohol and smoking for a day before the analysis, as these factors can influence the test results.
• Maintain proper hydration: Adequate hydration is important to facilitate the blood collection process. Insufficient fluid intake may make it difficult to perform the venipuncture.
• Inform about medications: Some medications can affect the test results. It is essential to inform the healthcare provider about any medications you are taking.

The Procedure

The Raport Conform Bethesda System analysis typically involves drawing a blood sample from a vein in the arm, usually located in the elbow crease. The procedure takes only a few minutes and is performed by a healthcare professional. After the venipuncture, there may be some minor bleeding or bruising, which typically resolves on its own within a few days.

Sources:

https://www.aafp.org/pubs/afp/issues/2010/0215/p542.html
https://www.ncbi.nlm.nih.gov/books/NBK62300/
https://www.pathologyoutlines.com/topic/cytopathologyliquidbased.html
https://en.wikipedia.org/wiki/Liquid-based_cytology
https://www.sciencedirect.com/topics/medicine-and-dentistry/liquid-based-cytology
https://pubmed.ncbi.nlm.nih.gov/35928530/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9345114/

IMPORTANT!

It is crucial to remember that the information provided in this section is not intended for self-diagnosis or self-treatment. If you experience any discomfort or symptoms, it is essential to consult a qualified medical professional for proper diagnosis and treatment. Only a qualified healthcare provider can accurately diagnose and recommend appropriate treatment. To ensure the most accurate and consistent evaluation of test results, it is recommended to have your tests performed at the same laboratory. This is because different laboratories may use varying methods and units of measurement for similar tests.