The Bethesda System for Reporting Cervical Cytology 3rd edition
It is a privilege, a pleasure, and something of a surprise for me to write this Foreword To the third edition of the Cervical Cytology Bethesda System Atlas.This Bethesda System for Reporting Cervical Cytology 3rd edition atlas continues that evolution, presenting the latest refinements to the Bethesda System (TBS) in a convenient the easy-to-use reference designed to be accessible for cytopathologists and cytotechnologists regardless of the laboratory setting.
Different laboratories used a multiplicity of terms including, in many cases, Pap class numbers, with complex and idiosyncratic modifications, or dysplasia terminology with multiple, poorly reproducible gradations including a biologically inaccurate distinction between changes induced by human papillomavirus (HPV) and what was considered “true dysplasia.”This Bethesda System for Reporting Cervical Cytology 3rd edition of the atlas expands on the favorite features of the prior editions
Whats new in Bethesda System for Reporting Cervical Cytology 3rd edition:
1. Terminology used by the laboratory must communicate appropriate and clinically relevant information to the clinician
2. Language should be consistent from one lab to another and reasonably reproducible in practice but at the same time be flexible enough to be adapted in a wide variety of laboratories and geographic settings
3. Terminology should be continuously updated to reflect the most current understanding of the pathobiology of cervical neoplasia and integrate advances in laboratory practice
This Bethesda System for Reporting Cervical Cytology 3rd edition has 12 chapters, 6 of which correspond to the significant Bethesda interpretive categories, with the remainder being dedicated to other malignant neoplasms, anal
cytology, reporting of adjunctive testing, computer-assisted screening, educational notes, and a new chapter on cervical cancer risk assessment. Each section consists of a background discussion, a description of definitions and cytologic criteria, brief explanatory notes that cover intricate morphologic patterns and mimics of epithelial
lesions (where applicable), sample reports, and selected references.