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.
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.' 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.' 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.' Spengel, Doody’s Electric Journal, September, 2004). 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. KurmanEditors.
Diane SolomonCopyright 1994 Publisher Springer-Verlag New York Copyright Holder Springer-Verlag New York, Inc. EBook ISBN 978-1-4684-0201-8 DOI 10.1007/978-1-4684-0201-8 Edition Number 1 Number of Illustrations 61 illustrations in colour Additional Information Originally published under Kurman, Robert J.