| Results |
Description |
Follow-up |
Within Normal Limits |
No abnormal cells detected. |
Return for pelvic exam and Pap test in one year. |
Atypia
Cells of Uncertain Significance
ASCUS
|
Some cells show a few changes, or mild atypia. These changes might be due to a type of infection or Human Papilloma Virus (HPV) |
There is not one standard management plan for a patient with an
ASCUS Pap smear. The appropriate follow-up and testing will depend on
the patient's personal history. Nevertheless, appropriate evaluation
usually includes a repeat Pap smear and/or colposcopic examination.
Sometimes the inflammation is due to an infection or some other
irritant and resolves with appropriate treatment. |
LGSIL
Low Grade Squamous Intraepithelial Lesions
Class III
CIN I (mild dysplasia) |
Some normal cells are changed into abnormal cells. These cells could
change into cancer in the future. These changes also are called mild
dysplasia. |
Usually, colposcopy is performed after an LGSIL Pap smear. However,
close follow-up only may be warranted depending on the patient's
personal history.
|
HGSIL
CIN II (moderate dysplasia)
High Grade Squamous Intraepithelial Lesions
Class IV
CIN III (severe dysplasia)
CIS (carcinoma in situ) |
This also is called moderate to severe dysplasia.
|
Colposcopic evaluation is necessary after an HGSIL Pap smear is
discovered. A biopsy may be done to determine the amount of
abnormality. Treatment involves surgical removal of abnormal cells.
|
Squamous Cancer |
Cancer cells are present. |
Biopsy to confirm Pap tests and determine treatment. The diagnosis
of cervical cancer must be made by a biopsy. The Pap smear is only a
screening test. |
