Table 1

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

Class

Cytological description

Recommendation


I

Normal cells

/

II

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)

III

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

IIID

Mild to moderate dysplasia (CIN I and II)

cytological control in 3 months

IIIG

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

V

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