The cytology reportThe cytology report on abnormal findings should consist of a concise description of cells in precisely defined and generally accepted cytological terms. This may be followed, if appropriate, by a prediction of the histological condition based on the overall picture and should include a recommendation for the further management of the patient.When a prediction of histology is included as a supplementary statement to a description of the cytology use of the terminology, cervical intraepithelial neoplasia (CIN) is preferred: it has the advantage of relating the histological report more clearly to the prognosis and management than the artificial separation implied by classification into dysplasia and carcinoma in situ. Caution is advised, however, in the
The Members of the Working Party comment:The supplement to the BSCC paper on terminology in gynaecological cytopathology was written in response to a number of requests from BSCC members, and others, for guidance on management of women with abnormal cervical smears. Our recommendations were based on the evidence available at the time, which showed that smears reported as severely dyskaryotic correlate more accurately with the histological results of cervical specimens than smears reported as showing mild or moderate dyskaryosis.
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