Liquid-based Papanicolaou smear, report by Bethesda system
5 days We remind you that independent interpretation of the results is unacceptable, the information provided below is for reference purposes only.
The liquid-based Pap test, also known as liquid-based cytology or the PAP test, is a modern screening method for cervical cancer. In this test, a liquid medium is used to collect and transfer cells from the cervix and cervical canal. The obtained sample is then analyzed in the laboratory using the Bethesda system for result interpretation.
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
| Category | Description |
|---|---|
| Negative | No abnormal cells or other significant findings |
| ASC-US | Atypical squamous cells of undetermined significance |
| LSIL | Low-grade squamous intraepithelial lesion (mild dysplasia) |
| HSIL | High-grade squamous intraepithelial lesion (moderate to severe dysplasia) |
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
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
- 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
The Procedure
The liquid-based Pap test 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.
Preparation:
- Do not undergo the procedure during menstruation or if you have any bleeding. The test should be performed 2–3 days after the end of your menstrual cycle.
- Refrain from using any vaginal products (tampons, creams, suppositories) for 48 hours prior to the procedure.
- Avoid sexual intercourse for 24 hours before the procedure.
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