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Atlas Interpretation:
Interpreted image
Type of Preparation:
SurePath/ LBP

Magnification:
High

Clinical History:
32 year old woman

Interpretation:
NILM: Endocervical cells

Cytomorphologic Criteria:
Cluster of endocervical cells from high in the endocervical canal on a liquid based preparation. Seen en face, cells may mimic squamous metaplastic cells. Note 2 columnar shaped cells to left. Interpretation is NILM.

Explanatory Notes:
Normal endocervical cells from the upper region of the endocervical canal can mimic squamous metaplastic cells.

Follow-up:
The presence of either glandular or metaplastic cells is an indication that the transformation zone has been sampled, a quality indicator for cervical cytology specimens (a minimum of 10 well-preserved endocervical or metaplastic cells is required; they do not need to be in groups)

Bethesda Interobserver Reproducibility Data:
NILM: Negative for Intraepithelial Lesion or Malignancy # people picked NILM: Negative for Intraepithelial Lesion or Malignancy 483 80%
Endometrial cells in a woman >= 40 # people picked Endometrial cells in a woman >= 40 1 0%
ASC-US # people picked ASC-US 20 3%
ASC-H # people picked ASC-H 27 4%
LSIL # people picked LSIL 5 1%
HSIL # people picked HSIL 21 3%
Invasive Squamous Cell Carcinoma # people picked Invasive Squamous Cell Carcinoma 0 0%
Atypical Endocervical Cells # people picked Atypical Endocervical Cells 44 7%
Atypical Endometrial Cells # people picked Atypical Endometrial Cells 2 0%
Adenocarcinoma in situ (AIS), Endocervical # people picked Adenocarcinoma in situ (AIS), Endocervical 2 0%
Adenocarcinoma # people picked Adenocarcinoma 0 0%
 
605 interpretations were submitted.

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