براي گزارش پاپ اسمير در واحدهاي تهيه و گزارش پاپ اسمير در استان آذربايجان غربي BETHESDA )TBS( بررسي ميزان رعايت اصول سيستم طبقه بندي

STUDY OF THE IMPLEMENTATION OF BASICS OF THE BETHESDA CLASSIFICATION SYSTEM (TBS) IN THE REPORTED PAP SMEAR UNITS OF WEST AZARBYJAN

Introduction : The Bethesda classification system for reporting of pap smear have been adopted in worldwide scientific centers since 1991 and yeilding accurate results. To gel in formation on the implementation of basics of TBS in the reported pap smears in the pap smear units of West Azarby/an, present study has been conducted upon 605 reported pap smears (including 5% of the pap smears reported during the summer months of year 1380). Materials & Methods : Cross - sectional, retrospective and analyical method has been implemented throughout this study. Determining 5% for per unit, the intended smears have been selected by systemic random sampling and been reported again in the basics of TBS. The degree of implementation of the basics of TBS in previous reports has been evaluated. Considering the mean differences between the gained data, thePvalue has been evaluated statistically. PA0.05 points to the presence of a meaning , ful-relationship. Results : The results indicated that the degree of implementation of TBS basics in `specimen adequacy reportʹ in private and state units was 16% and 28% (P>0.05) respectively and for the `gerneral categorization reportʹ was 41% and 32% (P>0.05) respectively and so for the whole samples it was 38% and 32% respectively. The satisfactory, satisfactory but limited and unsatisfactory smears were 48.6% , 46.8% and 4.7% respectively. Also 20 cases of squamous cell abnormalities with previous negative report (false negative) composed of 2 cases of carcinoma insitu (confirmed by cervical biopsy) one case of LSIN and rest as ASCLIS was seen. Discussion : The present public system due to inappropriate implementation of the basics of the Bethesda system lacks the f oundarnentals• necessary for screening of cervical malignancy. To accelerate the quality of pap smear, it is necessary to implements the basics of TBS and check the results.