TY - JOUR ID - TI - Significance of Bethesda System in Reporting of Cervical Intraepithelial Lesions and the Most Common Cytological Findings AU - Azhar Abed Flyyih AU - Manal Nasih Ahmed Hamdan AU - Haider Jebur Kehiosh PY - 2019 VL - 12 IS - 2 SP - 2169 EP - 2173 JO - Karbala Journal of Medicine مجلة كربلاء الطبية SN - 19905483 29580889 AB - Background: Cancer of the cervix uteri remains fourth most common cancer and a significant cause of women mortality in many developed countries; the incidence of cervical cancer was comparatively low in Iraq like most Muslim countries. The Bethesda System goes back almost 3 decades and it is the latest and the more recent medical terminology system with aim to standardize the cervical cytology report.Objective: Is to emphasize the role of cervical cytopathology smear in the detection of various cervical intraepithelial lesions that may predispose to cancer and to evaluate The Bethesda System in reporting these lesions.Patients & methods: This retrospective study was carried out in Al-Yarmouk, Baghdad medical city teaching laboratories, and Karbala gynecology hospital Lab on 91 women aged 25 & above, for the period from June 2016 to March 2017, all were married, non-pregnant, the cervical smears of these women were stained by the Pap technique and reevaluated, reassessed using The Bethesda System (TBS). Result: According to The Bethesda System the cytological findings of epithelial cells abnormalities revealed: (5.9%) of cases. Minimal cervical smear abnormalities were the high grade squamous intraepithelial lesions (3.3%), Atypical squamous cells, as a single entity was representing (47.1% of abnormal cervical smears, 26.4 % of total group study). While low grade squamous intraepithelial lesions & atypical glandular cells represented (43.1%), (3.9%) of abnormal cervical smears respectively.Conclusion: Pap smear or cervical smear is a simple, easy test and well-established efficiency. The Bethesda System is of validity in providing a uniform formula for cervicovaginal cytopathology report & it reflects important advances in biological understanding of cervical neoplasia & cervical screening technology.

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