Table 1

Classification of Munich (II), modified by Soost in 1989 [5].


Cytological description



Normal cells



Regenerative cells, immature metaplastic cells, important degenerative or inflammatory changes, para- and hyperkeratinizing cells. Normal endometrial cells even after the menopause.

cytological control if necessary (with or without anti-inflammatory or hormonal treatment)


Important degenerative, iatrogenic or inflammatory changes of the cells where benignity or malignancy cannot be diagnosed with certainty even if the smear is adequately prepared.

short-term cytological control if necessary after anti-inflammatory or hormonal treatment, or immediate histological control


Mild to moderate dysplasia (CIN I and II)

cytological control in 3 months


Abnormal cells of the glandular epithelium whose carcinomatous nature cannot be excluded with certainty; if possible with an indication of the endometrial, endocervical or extra-uterine origin of the cells.

cytological or histological control

IV a

Severe dysplasia or carcinoma in situ (CIN III)

histological control

IV b

Severe dysplasia or carcinoma in situ; invasive carcinoma not excluded

histological control


Invasive epidermoid carcinoma of the uterine cervix; adenocarcinoma, indicating if possible the endometrial, endocervical or extra-uterine origin of the cells. Other malignant tumours.

histological control

Scheiden et al. BMC Cancer 2004 4:37   doi:10.1186/1471-2407-4-37

Open Data