PAP SMEAR.pptx

Papa smear reporting

1. PAP SMEAR REPORTING

2. SPECIMEN TYPE

3. Conventional pap smear or liquid based preparation

4. ADEQUACY?

5. Minimum squamous cellularity criteria : 5000 well visualized / well preserved squamous cells in liquid based preparation . 8000 – 12000 cells in conventional preparation . Endocervical / Transformation Zone component : 10 well preserved endocervical / squamous metaplastic cells singly / in clusters .

6. SPECIMEN ADEQUACY Satisfactory for evaluation Unsatisfactory for evaluation Specimen rejected/not processed Specimen processed and examined, but unsatisfactory for evaluation of epithelial abnormality

7. More than 75% of cells obscured by inflammation, bacteria or interfering substances (lubricants and blood)

8. Woman's postchemotherapy, radiotherapy, postmenopausal, atrophic changes or post hysterectomy may have < 5,000 cells

9. Exception: adequate if any abnormal cells are present

10. General categorization (optional) Negative for intraepithelial lesion or malignancy Epithelial cell abnormality: see Interpretation / result (specify squamous or glandular)

11. Non neoplastic cellular findings: Reactive cellular changes with association specified: Inflammation (with or without repair) Lymphocytic (follicular) cervicitis Radiation Intrauterine contraceptive device changes

12. ORGANISMS Trichomonas vaginalis Fungal organisms morphologically consistent with Candida species Shift in flora suggestive of bacterial vaginosis Bacteria morphologically consistent with Actinomyces species

13. EPITHELIAL CELL ABNORMALITY Epithelial cell abnormalities Squamous cell Atypical squamous cells Of undetermined significance (ASC-US) Cannot exclude HSIL (ASC-H)

14. Low grade squamous intraepithelial lesion (LSIL) High grade squamous intraepithelial lesion (HSIL) With features suspicious for invasion (if invasion suspected) Squamous cell carcinoma

15. Glandular cell Atypical Endocervical cells (NOS or specify in comment) Endometrial cells (NOS or specify in comment) Glandular cells (NOS or specify in comment) Endocervical cells, favor neoplastic Glandular cells, favor neoplastic

16. HORMONAL CYTOLOGY