Chatterjee T, Gill S S, Rac Ramji
Graded Specialist (Pathology), Base Hospital, Delhi Cantt 110 010.
Classified Specialist, (Pathology), MDTC, Command Hospital (SC), Pune 411 040.
Med J Armed Forces India. 2000 Jan;56(1):45-49. doi: 10.1016/S0377-1237(17)30090-4. Epub 2017 Jun 8.
The complex detection system leading to the discovery and treatment of precancerous lesions and early cancers of the uterine cervix is touched upon. By far the most difficult and underestimated component of this system is the screening and interpretation of cervical smears. Emphasis on the latest system of reporting, The Bethesda system is highlighted upon. Weaker points of the previous systems and the need for a newer system for reporting are stressed upon. The classification of the precursors of invasive squamous cancers is not easy, and various groups have advocated several schemes, none is yet perfect or universally accepted. The variation in nomenclature become less significant when the cytopathologist is a full member of a team made up of a clinician, histopathologist, colposcopist, and oncologist. As long as all members speak to each other frequently and use the same language and terminology, they will be able to determine the best treatment for the patient.
本文探讨了导致子宫颈癌前病变和早期癌症发现与治疗的复杂检测系统。到目前为止，该系统中最困难且被低估的部分是宫颈涂片的筛查和解读。重点介绍了最新的报告系统——贝塞斯达系统。强调了先前系统的薄弱之处以及对更新报告系统的需求。浸润性鳞状细胞癌前体的分类并不容易，不同的组织提出了几种方案，但尚无一种是完美的或被普遍接受的。当细胞病理学家成为由临床医生、组织病理学家、阴道镜检查医师和肿瘤学家组成的团队的正式成员时，命名上的差异就变得不那么重要了。只要所有成员经常交流并使用相同的语言和术语，他们就能为患者确定最佳治疗方案。
