Ppt diagnostic cytopathology powerpoint presentation free. Solomon d, davey d, kurman r, moriarty a, oconnor d, prey m, et al. The bethesda system for reporting cervical cytology, put forward in 1988 thanks to the pioneering work of diane solomon, md, and robert kurman, md, 1 saw unprecedented adoption around the world. Jul 11, 2017 cervical smear cytology hsil pathweb teacher. The pap test and bethesda 2014 american cancer society. Much of the groundwork for this revision was laid down by a symposium entitled the bethesda system for reporting thyroid cytopathology tbsrtc.
Bethesda system for reporting cervical and vaginal cytology. The bethesda system and guidelines for the management of. The bethesda system cervical, oral and breast cancer. Thisterminologyandtheprocessthatcreatedithavehadaprofoundimpactonthepracticeofcervicalcytology. Home your department name university of wisconsinmadison. The bethesda system for the reporting of cervical cytology has created a uniform terminology that is widely used in laboratories across the united states and is gaining acceptance worldwide. May 21, 2018 the bethesda system tbs is a system for reporting cervicalor vaginal cytologic diagnoses,used for reporting pap smearresults. Histopathology reporting in cervical screening an integrated approach, 2nd edn. The bethesda system 1988 the term squamous intraepithelial lesion is characterized by a high spontaneous regression rate and the lack of predictable progression of sil to invasive cancer the bethesda system replaced 3 levels of cin with 2 levels, lsil and hsil, which could be used to describe any squamous abnormality of the. Past, present, and future at the 2016 international congress of cytology in yokohama, japan. Terminology for reporting cervical cytology was standardized by the bethesda system in 1988.
Bethesda system definition of bethesda system by medical. The bethesda system for reporting cervical cytology laid the foundations for cervical cytology education, implementation of management guidelines, and further research on cervical carcinogenesis. In 1989, the bethesda system was introduced to standardize the reporting of cervical cytology results and incorporate new insights gained from the discovery of hpv. As with the bethesda system for cervical cytology, it is expected that subsequent workshops will lead to further refinements to this framework. May 2015the value of standardized terminology for reporting cytology and histopathology has been essential in our work and important for patient care.
The bethesda system for reporting the results of cervical cytology was developed as a uniform system of terminology, providing clear guidance for clinical management. Application of bethesda system for cervical cytology in. The bethesda system 2001 workshop was convened to evaluate and update the 1991 bethesda system terminology for reporting the results of cervical cytology. Communicate clinically relevant information from the laboratory to the patients health care provider. Cytology and explanation of ambs 2004 terminology for. Cytology a system for reporting results from pap smears, which provides a uniform format for cervical and vaginal cytologic specimens, classifying noninvasive lesions and standardizes the lexicon for cervicalvaginal cytology reports, providing clinically relevant information. The history of the bethesda system tbs for reporting cervical cytology goes back almost 3 decades. According to the bethesda system tbs for reporting cervical cytology 4, precancerous lesions and cancerous lesions as positive samples in our test set include five types. Dec 22, 20 2 systemic pathology notes the bethesda system for reporting cervical cytology 2001 dr. Comparison of the australian modified bethesda system ambs australian modified bethesda system 2004 and the bethesda system tbs the bethesda system 20012014 back to top. The bethesda system for reporting cervical cytology, with its userfriendly format, is a must have for pathologists, cytopathologists, pathology residents, cytotechnologists, and clinicians. The bethesda system tbs is a system for reporting cervical or vaginal cytologic diagnoses, used for reporting pap smear results. A primary objective was to develop a new approach to broaden participation in the consensus process.
Indicate conventional smear pap smear, liquid based preparation or other preparation describe specimen adequacy. The milan system for reporting salivary gland cytopathology duration. Search bethesda system university of wisconsinmadison. Emphasis on the latest system of reporting, the bethesda system is highlighted upon. It was introduced in 1988 and revised in 1991, 2001, and 2014. Springer, 2015 tbs 2014 includes normal, inflammatory, and reactive changes all within the no intraepithelial lesion nil category. Liquidbased, thinlayer preparation of cervical cytology specimens was a subsequent modification in technique. Enter your mobile number or email address below and well send you a. The bethesda system for reporting cervical cytology. The bethesda system definition of the bethesda system by. In 1988, during a meeting of the national institutes of health in bethesda, maryland, usa, a new system for reporting cervi cal cytology was introduced and approved the bethesda system tbs, which is still a fundamen tal algorithm for patients management on daily basis. The 1988 bethesda system for reporting cervical vaginal cytologic.
From the departments of pathology, 1brigham and womens hospital and harvard medical school, boston, ma. In developing countries where the use of fnab cytology has been increasing rapidly, breast lesions are one of the most common sites sampled by fnab. Buy the bethesda system for reporting cervical cytology book. Weaker points of the previous systems and the need for a newer system for reporting are stressed upon. The bethesda system for cervical cytology specimen adequacy. This terminology and the process that created it have had a profound impact on the practice of cervical cytology for laboratorians and clinicians alike. Enter your mobile number or email address below and well send you a link to download the free kindle app. The bethesda system for reporting cervical cytology laid the foundations for cervical cytology education, implementation of management guidelines, and. Cervical cytology sensitivity and specificity overall sensitivity.
Residents ppap smearap smear bioline international. The bethesda system for reporting thyroid cytopathology the nci conference participants acknowledged the importance of developing a uniform terminology for reporting thyroid fna results. The bethesda system used for cervical cytology is not only a uniform and standard method but also gives descriptive diagnosis that helps the gynaecologist in individualized patient management. Jun 08, 2017 by far the most difficult and underestimated component of this system is the screening and interpretation of cervical smears. Atlas on bethesda system for reporting cervical cytology.
The bethesda system for reporting cervical cytology, second edition. The 2014 bethesda system for reporting cervical cytology. Explanation of ambs australian modified bethesda system 2004 terminology for reporting cervical cytology squamous abnormalities. It was developed during a workshop sponsored by the national cancer institute at bethesda, maryland in the united states. Pap smears are not perfect for a high grade lesion, the sensitivity of a single pap smear is only 6080% estimated false negative rate is 3050%. Home training manuals cytopathology of the uterine cervix digital atlas the bethesda system cytopathology of the uterine cervix digital atlas the bethesda system. The bethesda system for reporting thyroid cytopathology. The bethesda system has been widely adopted since the first workshop was convened by the national cancer institute in 1988. Cervical cytology classification and the bethesda system. By far the most difficult and underestimated component of this system is the screening and interpretation of cervical smears. The 2001 bethesda system for reporting cervical cytology. Definitions, criteria, and explanatory notes kindle edition by nayar, ritu, wilbur, david c download it once and read it on your kindle device, pc, phones or tablets. Updates for 2015 6th cytopathology congress bursa, turkey october 14, 2015 david c. The 2017 bethesda system for reporting thyroid cytopathology.
The bethesda system for reporting cervical cytology was developed to provide a uniform system of terminology that would promote clear management guidelines. Objectives the bethesda 2001 workshop was convened to evaluate and update the 1991 bethesda system terminology for reporting the results of cervical cytology. The bethesda conferences and their ensuing output have also set the stage for. Cytology a system for reporting results from pap smears, which provides a uniform format for cervical and vaginal cytologic specimens, classifying noninvasive lesions and standardizes the lexicon for cervical vaginal cytology reports, providing clinically relevant information. Sep 20, 2014 the bethesda system used for cervical cytology is not only a uniform and standard method but also gives descriptive diagnosis that helps the gynaecologist in individualized patient management. This system has been revised several times, and the current system was developed in 2014. Bethesda system is a system for reporting cervical and vaginal cytology or pap smear results. Nov 01, 2017 much of the groundwork for this revision was laid down by a symposium entitled the bethesda system for reporting thyroid cytopathology tbsrtc.
Communication between gynaecologist and cytopathologist is required for best results of the cervical cytology reporting. Participants forum groups composed of 6 to 10 individuals were responsible for. Two additional workshops were held in 1991 and 2001 in order to address scientific. It was introduced in 1988, and revised in 1991 and 2001. Definitions, criteria, and explanatory notes by 20150712 paperback january 1, 1800 4. The name comes from the location bethesda, maryland of the conference that established the system. An inspiration for the thyroid proposal was the bethesda system for reporting cervical cytology interpretations, first developed at an nci workshop in 1988 and. The bethesda system for reporting cervical cytology, with its userfriendly format, is a must have for pathologists, cytopathologists, pathology. A primary objective was to develop a new approach to broaden participation in the. Bethesda system 2001 for cervicovaginal cytology reporting. The bethesda system tbs is a system for reporting cervicalor vaginal cytologic diagnoses,used for reporting pap smearresults. January 2017in countries with developed medical infrastructure, the use of breast fineneedle aspiration biopsy fnab cytology has had its share of challenges over the past 20 years, among them the use of core needle biopsies.
1430 1619 1160 1330 340 342 579 1298 223 1429 1298 330 272 1410 292 1182 1556 130 1379 906 260 722 741 599 1404 1224 252 200 147 680 1566 1152 1059 1640 1366 801 1462 1100 1104 16 244 1323 1322 1335 78 338 1407 969