cytopathology challenge! weekly cases october 22th 2007 pap smear special edition!

Cytopathology Challenge! Weekly Cases

October 22th 2007

Pap Smear Special Edition!

24 year old female. ThinPrep papA. TrichomonasB. LactobacillusC. GonorrheaD. Bacterial VaginosisE. Artifact

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34 year old female. ThinPrep papA. Reactive endocervical cellsB. Squamous metaplasiaC. ASCUSD. LSILE. HSIL

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34 year old female. ThinPrep papA. Endocervical cellsB. HSILC. Endometrial cellsD. Squamous metaplasiaE. Lymphocytes

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29 year old female. ThinPrep papA. Squamous metaplasiaB. Reactive endocervical cellsC. ASC-USD. LSILE. HSIL

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24 year old female. ThinPrep papA. TrichomonasB. LactobacillusC. GonorrheaD. Bacterial VaginosisE. Artifact

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29 year old female. ThinPrep papA. Squamous metaplasiaB. Reactive endocervical cellsC. ASC-USD. LSILE. HSIL

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29 year old female. ThinPrep papA. Squamous metaplasiaB. Reactive endocervical cellsC. ASC-USD. LSILE. HSIL

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29 year old female. ThinPrep papA. ReactiveB. Endocervical cellsC. ASC-USD. LSILE. HSIL

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34 year old female. ThinPrep papA. Squamous metaplasiaB. Reactive endocervical cellsC. ASC-USD. LSILE. HSIL

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34 year old female. ThinPrep papA. Contaminant from a BALB. HSILC. Endometrial cellsD. AdenocarcinomaE. Tubal metaplasia

Answers

1. D Bacterial Vaginosis• Clue cells with cocci on them

2. D LSIL• Koilocytes!

3. C Endocervical cells• Honeycomb, regular, not dysplastic

4. E HSIL• High NC ratio, irregular nuclei

5. B Lactobacillus• Rods on the cells

6. D LSIL• Koilocytes again!

7. A Squamous Metaplasia• Can look like HSIL, but nuclei not so big and still regular in contour.

8. A Reactive• See the trichomonas hiding in there……

9. E. HSIL• High NC ratio, irregular nuclei

10. E Tubal metaplasia• Ciliated cells in a pap smear can be metaplastic ciliated metaplasia.