{"id":1686,"date":"2010-12-11T15:14:37","date_gmt":"2010-12-11T15:14:37","guid":{"rendered":"https:\/\/cloverock.info\/mockosce23\/new\/classification-papanicolaou\/"},"modified":"2023-09-11T17:17:50","modified_gmt":"2023-09-11T16:17:50","slug":"classification-papanicolaou","status":"publish","type":"post","link":"https:\/\/www.qpercom.com\/sim\/index.php\/the-gynaecological-examination\/specific-examinations\/classification-papanicolaou\/","title":{"rendered":"Classification"},"content":{"rendered":"<h3><span style=\"color: #003366;\"><span style=\"text-decoration: underline;\"><strong>Classification According to Papanicolaou<\/strong><\/span>\u00a0<\/span><\/h3>\n<table border=\"0\" width=\"auto\">\n<tbody>\n<tr>\n<td><span style=\"color: #003366;\"><strong>Classification<\/strong><\/span><\/td>\n<td><span style=\"color: #003366;\"><strong>(Repea<\/strong><strong>t)<\/strong><strong> Advice<\/strong><\/span><\/td>\n<\/tr>\n<tr style=\"background-color: lightgrey;\">\n<td><span style=\"color: #003366;\"><strong>CLASS 0<\/strong><\/span><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><span style=\"color: #003366;\">No endocervical cells<\/span><\/td>\n<td><span style=\"color: #003366;\">Repeat during next cycle<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"color: #003366;\">Poor quality of smear<\/span><\/td>\n<td><span style=\"color: #003366;\">Repeat during next cycle<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"color: #003366;\">Too little material, poor fixation<\/span><\/td>\n<td><span style=\"color: #003366;\">Repeat during next cycle<\/span><\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr style=\"background-color: lightgrey;\">\n<td><span style=\"color: #003366;\"><strong>CLASS I<\/strong><\/span><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><span style=\"color: #003366;\">No abnormalities of the epithelial cells<\/span><\/td>\n<td><span style=\"color: #003366;\">Repeat after 5 years (<em>if 2 times Pap I<\/em>)<\/span><\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr style=\"background-color: lightgrey;\">\n<td><span style=\"color: #003366;\"><strong>CLASS II<\/strong><\/span><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><span style=\"color: #003366;\">Reactive stratified squamous, endocervix, endometrium epithelial cells or koilocytosis<\/span><\/td>\n<td><span style=\"color: #003366;\">Repeat after 6 months<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"color: #003366;\">Very marked inflammation<\/span><\/td>\n<td><span style=\"color: #003366;\">Repeat after treatment<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"color: #003366;\">Atrophy with atypical nuclei<\/span><\/td>\n<td><span style=\"color: #003366;\">Repeat after oestrogen course<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"color: #003366;\">Atypical endometrial epithelial cells<\/span><\/td>\n<td><span style=\"color: #003366;\">Repeat following discontinuation of oestrogen therapy<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"color: #003366;\">Other<\/span><\/td>\n<td><span style=\"color: #003366;\">Repeat after \u00bd year<\/span><\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr style=\"background-color: lightgrey;\">\n<td><span style=\"color: #003366;\"><strong>CLASS IIIA<\/strong><\/span><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><span style=\"color: #003366;\">Limited to moderate dysplasia of the stratified squamous and\/or endocervical epithelial cells<\/span><\/td>\n<td><span style=\"color: #003366;\">Repeat after 3 months, possibly colposcopy examination; if persists, histological analysis<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"color: #003366;\">Atypical reserve cells<\/span><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><span style=\"color: #003366;\">Atypical endometrial epithelial cells<\/span><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr style=\"background-color: lightgrey;\">\n<td><span style=\"color: #003366;\"><strong>CLASS IIIB<\/strong><\/span><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><span style=\"color: #003366;\">Marked dysplasia of the stratified squamous and\/or endocervical epithelial cells<\/span><\/td>\n<td><span style=\"color: #003366;\">Histological analysis<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"color: #003366;\">Highly atypical reserve cells<\/span><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><span style=\"color: #003366;\">Highly atypical endometrial epithelial cells<\/span><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr style=\"background-color: lightgrey;\">\n<td><span style=\"color: #003366;\"><strong>CLASS IV<\/strong><\/span><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><span style=\"color: #003366;\">Carcinoma in-situ<\/span><\/td>\n<td><span style=\"color: #003366;\">Histological analysis<\/span><\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr style=\"background-color: lightgrey;\">\n<td><span style=\"color: #003366;\"><strong>CLASS V<\/strong><\/span><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><span style=\"color: #003366;\">Invasive stratified squamous cell carcinoma<\/span><\/td>\n<td><span style=\"color: #003366;\">Histological analysis<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"color: #003366;\">Adenocarcinoma<\/span><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #003366;\"><em><span style=\"color: #33cccc;\"><strong>Further investigations:<\/strong><\/span> <span style=\"text-decoration: underline;\">Tissue biopsy<\/span> is taken from the abnormal tissue for <span style=\"text-decoration: underline;\">histological analysis<\/span>, i.e. a piece of tissue is examined as a whole (as opposed to the smear sample in which loose cells are spread on a slide and analysed &#8211; known as <span style=\"text-decoration: underline;\">cytology<\/span>). The histological assessment is conducted according to <span style=\"text-decoration: underline;\">CIN-classification<\/span> (cervical intraepithelial neoplasia).<\/em><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Classification According to Papanicolaou\u00a0 Classification (Repeat) Advice CLASS 0 No endocervical cells Repeat during next cycle Poor quality of smear Repeat during next cycle Too little material, poor fixation Repeat during next cycle CLASS I No abnormalities of the epithelial cells Repeat after 5 years (if 2 times Pap I) CLASS II Reactive stratified squamous, [&hellip;]<\/p>\n","protected":false},"author":83,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[53],"tags":[136],"class_list":["post-1686","post","type-post","status-publish","format-standard","hentry","category-specific-examinations","tag-the-gynaecological-examination"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Classification - Qpercom | Skills in Medicine<\/title>\n<meta name=\"description\" content=\"Online Mock OSCEs with examiners, patient actors, instant results and personalised feedback. 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