The 2014 Bethesda System

Cancer Cytopathology
The Pap test and Bethesda 2014

Ritu Nayar MD and David C. Wilbur

Abstract: The history of “The Bethesda System” for reporting cervical cytology goes back almost 3 decades. This terminology and the process that created it have had a profound impact on the practice of cervical cytology for laboratorians and clinicians alike. Herein, we summarize the process and rationale by which updates were made to the terminology in 2014 and outline the contents of the new, third edition of the Bethesda atlas and corresponding website.

Cancer Cytopathology 2015; 123(5):271–281