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Title:Citološki izvid - klasifikacija po Bethesdi
Authors:ID Pogačnik, Ana (Author)
Files:.pdf PDF - Presentation file, download (128,81 KB)
MD5: 6187C5108CA20E3CC0010776BBC82EAF
PID: 20.500.12556/dirros/b1d6dbab-eac4-4894-ad82-d36e867042fe
 
Language:Slovenian
Typology:1.04 - Professional Article
Organization:Logo OI - Institute of Oncology
Abstract:Glavni namen snovalcev klasifikacije po Bethesdi je bil ustvariti tako terminologijo sprememb na materničnem vratu, da bi bil citološki izvid Pap testa jasen in bi jasno odražal nadaljnjo obravnavo žensk. V Sloveniji smo leta 2006 spremenili klasifikacijo in se zelo približali Bethesdini, sedaj pa smo se odločili, da jo v celoti prevzamemo. Glavne spremembe so naslednje: v novem izvidu je bris uporaben ali neuporaben. Negativni bris delimo na normalen bris in neneoplastične spremembe, ki poleg reaktivnih sprememb iz stare klasifikacije vsebujejo še tubarno metaplazijo, žlezne celice po histerektomiji, endometrijske celice po 40. letu starosti in folikularni cervicitis. Med patološkimi spremembami je na ploščatem epiteliju najpomembnejša razlika ta, da je namesto atipičnih metaplastičnih celic dodana zelo pomembna kategorija atipičnih ploščatih celic, ne moremo pa izključiti ploščatocelične lezije visoke stopnje. Patološke spremembe žleznih celic so razdeljene v 4 skupine. Priporočila v novi klasifikaciji niso več obvezna, saj je odločitev o nadaljnji obravnavi žensk z nekaterimi spremembami odvisna tudi od HPV-testiranja. Obvezni postopki so zapisani v Smernicah za celostno obravnavo žensk s predrakavimi spremembami materničnega vratu.
Keywords:onkologija, citologija, diagnostika, maternični vrat
Publication status:Published
Publication version:Version of Record
Year of publishing:2011
Number of pages:str. 44-46
Numbering:Letn. 15, št. 1
PID:20.500.12556/DiRROS-8767 New window
UDC:618.14-006.6-076.5
ISSN on article:1408-1741
URN:URN:NBN:SI:doc-3S9Y5DKX
COBISS.SI-ID:1132923 New window
Copyright:by Authors
Publication date in DiRROS:31.08.2018
Views:5135
Downloads:1114
Metadata:XML DC-XML DC-RDF
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POGAČNIK, Ana, 2011, Citološki izvid - klasifikacija po Bethesdi. Onkologija [online]. 2011. Vol. 15, no. 1, p. 44–46. [Accessed 28 April 2025]. Retrieved from: https://dirros.openscience.si/IzpisGradiva.php?lang=eng&id=8767
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Record is a part of a journal

Title:Onkologija
Shortened title:Onkologija
Publisher:Onkološki inštitut
ISSN:1408-1741
COBISS.SI-ID:65324032 New window

Licences

License:CC BY 4.0, Creative Commons Attribution 4.0 International
Link:http://creativecommons.org/licenses/by/4.0/
Description:This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.
Licensing start date:31.08.2018

Secondary language

Language:English
Title:Cervical Cytology Reporting – Classification According to Bethesda System
Abstract:The main goal of Bethesda classification was to develop a system for reporting Pap smears that would communicate the cytology interpretation to the clinician in a clear and relevant fashion. In Slovenia, a new classification, which closely approximated Bethesda classification, was introduced in 2006. In 2011, we decided to fully accept Bethesda clasification. Specimen adequacy is now evaluated as satisfactory or unsatisfactory for evaluation, with the specification why the specimen cannot be examined. If smear is negative for epithelial lesion, it is labeled either as normal smear or non-neoplastic disorder. Pathologic changes are devided into epithelial cell abnormalities: squamous and glandular. Among squamous epithelial cell abnormalities, the most problematic and controversial categories are atypical squamous cells of undetermined significance (ASC-US) and atypical squamous cells cannot exclude high-grade sqamous intraepithelial lesion (ASC-H) . Squamous intraepithelial lesions (SIL) in Bethesda system are devided into low-grade intraepithelial lesion (LSIL), high-grade intraepithelial lesion (HSIL) and squamous carcinoma. Glandular cell abnormalities are devided into four categories: atypical glandular cell NOS, atypical glandular cells favour neoplastic, endocervical adenocarcinoma in situ, and adenocarcinoma.


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