III.A.2b High grade squamous intraepithelial lesion encompassing:ДЄt first you may find it somewhat disconcerting to discover that more than one type of form may be used to report similar findings. III.A.2a Low grade squamous intraepithelial lesion encompassing: Cellular changes consistent with HPV infection Mild dysplasia/ CIN 1 III.A.2 Squamous intraepithelial lesions (Comment on presence or absence of cellular changes consistent with Human papillomavirus ( HPV) infection III.A.1 Atypical squamous cells of undetermined significance (specify recommended follow-up and /or further investigative procedures) a GENERAL CATEGORIZATION of the diagnosis (within normal limits or other), andДЇor Squamous Cell the following terminology is used:.a STATEMENT ON ADEQUACY OF THE SPECIMEN,.Their organization of the new terminology and classifications is a follows: Accordingly, it is our conclusion that the Papanicolaou Class System is not acceptable in the practice of diagnostic cytology'. In particular, the Papanicolaou Classes do not reflect current understanding of cervical neoplasia, do not provide for the diagnosis of non-cancerous entities, and as a result of numerous idiosyncratic modifications over the years, no longer reflect uniform diagnostic interpretations. If they are based on different types and sources of specimens, summarize all pertinent findings.ДЄccording to the National Cancer Institute Workshop on Terminology for Cervical and Vaginal Cytology, December 12-13, 1988, 'While the Papanicolaou Classes have a significant historical association with the early development of cytology, it can no longer be relied upon to communicate clinically relevant information. If there are multiple reports on the same type and source of specimen, record the findings on the first positive report. Some medical records will contain more than one cytology report. Conclusive evidence of malignant neoplasm.Fairly conclusive evidence of malignant neoplasm.Cells present causing suspicion of malignant neoplasm.Atypical cells present but no evidence of malignant neoplasm.No evidence of a malignant neoplasm, no atypical cells.The Papanicolaou classification of cells for the detection of malignancy ('Pap' smear) used in the past is as follows: Class Interpretation A cytology report recorded as suspicious is not considered as diagnostic of cancer and unless supported by a positive biopsy (as reported on a pathology report) or by a clinical impression of cancer, these cases should not be abstracted.

Pathology report definition