1 / 12

Cytopathology Challenge! Weekly Cases

Cytopathology Challenge! Weekly Cases. Feb 1st, 2008 GYN SPECIAL EDITION NUMBER 2. 24 year old female. ThinPrep pap LSIL HSIL ASCUS Squamous Metaplasia Endocervical Cells. 1. 34 year old female. ThinPrep pap Reactive endocervical cells Squamous metaplasia ASCUS LSIL HSIL. 2.

veata
Download Presentation

Cytopathology Challenge! Weekly Cases

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Cytopathology Challenge! Weekly Cases Feb 1st, 2008 GYN SPECIAL EDITION NUMBER 2

  2. 24 year old female. ThinPrep pap • LSIL • HSIL • ASCUS • Squamous Metaplasia • Endocervical Cells 1

  3. 34 year old female. ThinPrep pap • Reactive endocervical cells • Squamous metaplasia • ASCUS • LSIL • HSIL 2

  4. 34 year old female. • ThinPrep pap • ASCUS • LSIL • HSIL • Squamous Metaplasia • Reactive/Inflammatory 3

  5. 29 year old female. ThinPrep pap • Squamous metaplasia • Reactive endocervical cells • ASC-US • LSIL • HSIL 4

  6. 32 year old female. ThinPrep pap • Squamous metaplasia • Reactive endocervical cells • ASC-US • LSIL • HSIL 5

  7. 23 year old female. ThinPrep pap • Squamous metaplasia • Parakeratosis • LSIL • HSIL • SCCA 6

  8. 18 year old female. • ThinPrep pap • CMV • HIV • HPV • HSV • EBV 7

  9. 52 year old female. • ThinPrep pap • Reactive endocervical cells • Normal endometrial cells • AIS • Adenocarcinoma • HSIL 8

  10. 44 year old female. ThinPrep pap A. Squamous metaplasia B. Reactive endocervical cells C. Atrophy D. LSIL E. HSIL 9

  11. 34 year old female. ThinPrep pap • Reactive • ASCUS • LSIL • HSIL • Squamous Metaplasia 10

  12. Answers • D Squamous Metaplasia • Nuclei not enlarged, smooth contours, NC ratio OK. Not HSIL. • A Endocervical cells • Small round and regular nuclei. Compare to Ques #1. • E Reactive • See the trichomonas organism! • D LSIL • Koilocytes! • D LSIL • Koilocytes! • B Parakeratosis • Sometimes associated with dysplasia • D HSV • Herpes Simplex Viral changes in Nucleus • D Adenocarcinoma • Crowded overlapping nuclei with prominent nucleoli. No “feathering” so not Adeno in situ (AIS) • E HSIL • High NC ratio, irregular nuclei. This actually turned out to be a SCCA on biopsy. • A Reactive • No dysplasia, just some squamous cells with neutrophils.

More Related