Comparing classification systems for abnormal Pap tests

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Classification systems for abnormal Pap test
WHO* Dysplasia System Cervical Intraepithelial Neoplasia (CIN) The Bethesda System

Normal (benign)

Normal (benign)

Normal (benign)

Benign with inflammation

Not reported in CIN

Infection and atypical squamous cells (ASC), which includes ASC of undetermined significance (ASC-US) and ASC that cannot exclude high-grade squamous intraepithelial lesions (HSIL) (ASC-H)

Dysplasia (mild)

CIN 1

Low-grade squamous intraepithelial lesions (LSIL)

Dysplasia (moderate to severe)

CIN 2, CIN 3

High-grade squamous intraepithelial lesions (HSIL)

Carcinoma in situ

CIN 3

High-grade squamous intraepithelial lesions (HSIL)

Invasive cancer

Invasive cancer

Squamous cell cancer

* World Health Organization

Credits

Author Shannon Erstad, MBA/MPH
Editor Kathleen M. Ariss, MS
Associate Editor Denele Ivins
Associate Editor Pat Truman
Primary Medical Reviewer Joy Melnikow, MD, MPH
- Family Medicine
Specialist Medical Reviewer Barbara S. Apgar, MD, MS
- Family Medicine, Women's Health
Specialist Medical Reviewer Ross Berkowitz, MD
- Obstetrics and Gynecology
Last Updated January 12, 2007
Last Updated: 01/12/2007

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