Padnicolau smear: decoding and interpretation of results.
Content
Smear on cervical cervical
Padnicolau smear — Screening method of early diagnosis of precancerous states and malignant tumors on the cervix. Test Papanicolau recommended all women older than 30 years. Mailing is carried out during the gynecological examination by a gynecologist. Special microchkins collect samples of the epithelium from the surface of the cervix and cervical canal. Material is transferred to the slide glass for further processing and research. The procedure is painless, does not require special training.
Interpretation of results on dad-smear
The results of the analysis on dad-smear may be negative and positive. At the same time, the quality of the drug smear, the presence in the field of view of leukocytes, bacteria and fungi. Pathological picture and imprisonment are described by the Bethesda system.
Classification of the results of dad-smear (Bethesda, 2001):
- No dysplasia or malignant cells (NILM) — negatively;
- The presence of atypical glandular cells: inflammatory changes (Agus-NOS), suspicion of invasive growth (AGC, Favor Neoplastic), malignant neoplasm of the cervical canal (AIS);
- Availability of atypical flat cells: inflammatory changes (ASC-US), light dysplasia (Lsil, CIN1), moderate (CIN2), pronounced (HSIL, CIN3), malignant neoplasm (CIS).
The presence of single atypical cells indicates inflammatory changes. A large number of atypical cells — Symptom of precancerous condition (high-degree dysplasia). The presence of cells with signs of malignation — Starting stage of cervical cancer (AIS, CIS). The results of the analysis are not the final diagnosis!
