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


Clinical History:
75 year old female

NILM: Atrophy

Cytomorphologic Criteria:
Parabasal cells with occasional pyknotic degenerated cells. Clumping of granular background produces a cleaner background. Globular collections of basophilic amorphous material (blue blobs) present.

Explanatory Notes:
Blue blobs reflect either degenerated parabasal cells or inspissated mucus. Air drying and nuclear enlargement are also less frequently noted with liquid based preparations.

Bethesda Interobserver Reproducibility Data:
NILM: Negative for Intraepithelial Lesion or Malignancy # people picked NILM: Negative for Intraepithelial Lesion or Malignancy 362 75%
Endometrial cells in a woman >= 40 # people picked Endometrial cells in a woman >= 40 65 14%
ASC-US # people picked ASC-US 9 2%
ASC-H # people picked ASC-H 3 1%
LSIL # people picked LSIL 1 0%
HSIL # people picked HSIL 0 0%
Invasive Squamous Cell Carcinoma # people picked Invasive Squamous Cell Carcinoma 0 0%
Atypical Endocervical Cells # people picked Atypical Endocervical Cells 7 1%
Atypical Endometrial Cells # people picked Atypical Endometrial Cells 29 6%
Adenocarcinoma in situ (AIS), Endocervical # people picked Adenocarcinoma in situ (AIS), Endocervical 1 0%
Adenocarcinoma # people picked Adenocarcinoma 3 1%
480 interpretations were submitted.

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