PL Bulletin

PL updates ASC-H terminology

12/2/2019
Posted by: Sue Severson

In order to better comply with current Bethesda terminology regarding Pap test reporting and to be certain that our clients have accurate information for follow-up of their patients, PL is updating the verbiage used for ASC-H Pap diagnoses.   The interpretation ASCUS, cannot exclude a high grade (ASCUS-H) was changed from:

 

ATYPICAL SQUAMOUS CELLS OF UNDETERMINED SIGNIFICANCE CANNOT EXCLUDE A HIGH GRADE LESION

to ASC-H:

ATYPICAL SQUAMOUS CELLS CANNOT EXCLUDE A HIGH GRADE LESION

 

What this means moving forward:

For interpretations of ASC-H, high risk HPV testing will no longer be performed reflexively for Pap tests marked "If ASC-US perform HPV testing".
 According to ASCCP recommendations the appropriate follow up of an ASC-H interpretation is colposcopy.