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The Bethesda System for Reporting Cervical/Vaginal Cytologic Diagnoses

Definitions, Criteria, and Explanatory Notes for Terminology and Specimen Adequacy

  • Book
  • © 1994

Overview

Authors:
  1. Robert J. Kurman

    1. School of Medicine, Johns Hopkins University, Baltimore, USA

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    You can also search for this author in PubMed   Google Scholar

  2. Diane Solomon

    1. National Cancer Institute, Bethesda, USA

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Table of contents (2 chapters)

  1. Front Matter

    Pages i-1
    Download chapter PDF

  2. Specimen Adequacy Definitions, Criteria, and Explanatory Notes

    • Robert J. Kurman, Diane Solomon
    Pages 3-8

  3. Descriptive Diagnoses Definitions, Criteria, and Explanatory Notes

    • Robert J. Kurman, Diane Solomon
    Pages 9-81
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Keywords

About this book

The Bethesda System (TBS) for Reporting CervicaVVaginal Cytologic Diagnoses was developed at a National Cancer Institute (NCI)-sponsored workshop in December 1988 to provide uniform diagnostic terminology that would facilitate communication between the laboratory and the clinician. The format ofTBS report includes a descriptive diagnosis and an evaluation of specimen adequacy. TBS was designed to be flexible so that it could evolve in response to changing needs in cervical cancer screening as well as to advances in the field of cervical pathology. Subsequently, a second workshop was held in April 1991 to evaluate the impact of TBS in actual practice and to amend and modify it where needed. One of the major recommendations of this second meeting was that precise criteria should be formulated for both the diagnostic terms and for the descriptors of specimen adequacy. That is the intended purpose of this monograph. The classification used in TBS is not a histogenetic one, but rather a nomenclature designed to facilitate categorization and reporting of cyto­ logic diagnoses. The overall diagnosis, as in the World Health Organiza­ tion (WHO) system, is based on the most abnormal cells present regardless of their number. In addition, it should be noted that the site of origin of an abnormality detected in a cervicaVvaginal cytologic sample cannot always be specified because morphologically identical tumors may arise in the vagina, cervix, endometrium, or ovary.

Reviews

From the reviews:

"The numerous color plates are of excellent quality and closely reflect the criteria discussed... It supplies a much needed baseline for interpreting and reporting gynecologic cytology, and its use will facilitate the uniform application of TBS." (Am. Soc. of Cytology Bulletin)

"This book is a must for gynaecological cytopathologists. The book is clearly laid out, with a foreword that gives an overview of the different cytological classifications, allowing the reader to easily translate from one classification to another. … The pictures are clear, and large enough to clearly appreciate the morphology. … recommended to anyone reporting gynaecological cytology." (Dr. C Evans, ACP News – Winter, 2004)

From the reviews of the second edition:

"The book succeeds in incorporating the changing ideas of cervical carcinogenesis and new technology into easily applicable criteria. … This is a wonderful second edition and a must have for all cytopathologists, cytotechnologists, and pathology residents." (Ken C. Spengel, Doody’s Electric Journal, September, 2004)

 

Authors and Affiliations

  • School of Medicine, Johns Hopkins University, Baltimore, USA

    Robert J. Kurman

  • National Cancer Institute, Bethesda, USA

    Diane Solomon

Bibliographic Information

  • Book Title: The Bethesda System for Reporting Cervical/Vaginal Cytologic Diagnoses

  • Book Subtitle: Definitions, Criteria, and Explanatory Notes for Terminology and Specimen Adequacy

  • Authors: Robert J. Kurman, Diane Solomon

  • DOI: https://doi.org/10.1007/978-1-4684-0201-8

  • Publisher: Springer New York, NY

  • eBook Packages: Springer Book Archive

  • Copyright Information: Springer-Verlag New York, Inc. 1994

  • eBook ISBN: 978-1-4684-0201-8Published: 06 December 2012

  • Edition Number: 1

  • Number of Illustrations: 61 illustrations in colour

  • Additional Information: Originally published under Kurman, Robert J.

  • Topics: Pathology, Cell Biology, Gynecology

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