The Korean Journal of Cytopathology (대한세포병리학회지)
- Volume 4 Issue 2
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- Pages.81-86
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- 1993
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- 1017-0391(pISSN)
Evaluation of "Atypical Squamous Cells of Undetermined Significance" by the Bethesda System
Bethesda system에 의한 "atypical squamous cells of undertermined significance"의 평가
- Kim, Yee-Jeong (Departments of Pathology, Cheil General Hospital) ;
- Hong, Sung-Ran (Departments of Pathology, Cheil General Hospital) ;
- Kim, Hy-Sook (Departments of Pathology, Cheil General Hospital) ;
- Park, Jong-Sook (Departments of Pathology, Cheil General Hospital) ;
- Kim, Kye-Hyun (Departments of Obstetrics and Gynecology, Cheil General Hospital) ;
- Lim, Kyung-Ho (Departments of Obstetrics and Gynecology, Cheil General Hospital) ;
- Shim, Jae-Uk (Departments of Obstetrics and Gynecology, Cheil General Hospital) ;
- Park, Chong-Taik (Departments of Obstetrics and Gynecology, Cheil General Hospital) ;
- Chun, Chong-Soo (Departments of Obstetrics and Gynecology, Cheil General Hospital)
- 김의정 (제일병원 병리과) ;
- 홍성란 (제일병원 병리과) ;
- 김희숙 (제일병원 병리과) ;
- 박종숙 (제일병원 병리과) ;
- 김계현 (제일병원 산부인과) ;
- 임경호 (제일병원 산부인과) ;
- 심재욱 (제일병원 산부인과) ;
- 박종택 (제일병원 산부인과) ;
- 전종수 (제일병원 산부인과)
- Published : 1993.12.30
Abstract
The recently proposed Bethesda system for cervical/vaginal cytology has made a standardization related to "atypia". In cellular changes due to inflammation or repair, the word "benign cellular change" has been suggested as a substitute for atypia. Terminology related to atypical cells may become standardized, but the cytologic criteria has not been well defined yet. We evaluated 160 cases of atypical squamous cells of undetermined significance(ASCUS) by the Bethesda Sys4em(TBS). Among 30,428 cases screened, a cytologic diagnosis of ASCUS was made in 498 cases(1.6%) and 160 cases were histologically verified ASCUS was diagnosed based on nuclear enlargement and nonclassical signs of condyloma. The results are as follows: One hundred and twenty three cases(76.9%) revealed chronic cervicitis. Thirty seven cases(23.1%) demonstrated squamous intraepithelial lesion. Among intraepithelial lesions, condyloma and mild dysplasia were 28 cases(75.7%). Moderate and severe dysplasia were 5 cases(13.5%) and 4 cases(10.8%), respectively. it is concluded that patients with ASCUS should be colposcopically examined.