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Table 1 Classification of Munich (II), modified by Soost in 1989 [5].

From: Atypical glandular cells in conventional cervical smears: Incidence and follow-up

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