Pap smear report

1. A description of specimen type. Conventional Pap smear, liquid based cytology, or other.

2. A description of specimen adequacy.

3. A general categorization (optional). Negative, epithelial cell abnormality, or other (see interpretation below).

4. An interpretation/result. Either the specimen is negative for intraepithelial lesions and malignancy (although organisms or reactive changes may be present) or there is an epithelial cell abnormality or there is another finding.

5. A description of any ancillary testing or automated review that was performed (eg, human papillomavirus [HPV], AutoPap).

6. Educational notes and suggestions by the pathologist.

B. Specimen adequacy. The adequacy of the Pap smear specimen is typically reported as follows.

1. Unsatisfactory. Smears that are "unsatisfactory for evaluation" may have scanty cellular material or may be obscured by inflammation, blood, or debris so that more than 75 percent of the cells are uninterpretable. Unsatisfactory Pap smears should always be repeated in two to four months. If the cells are obscured by inflammation, an attempt should be made to clear the inflammatory process (eg, treat cervicitis or vaginitis) prior to repeating the smear.

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