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


Clinical History:
58 year old woman

NILM: Atrophy with inflammation (atrophic vaginitis)

Cytomorphologic Criteria:
Parabasal cells with some nuclear degeneration. Background shows granular debris which can mimic tumor diathesis, i.e. by 'clinging' to cell groups.

Explanatory Notes:
Overall background is usually cleaner in liquid preparations, but clinging debris may be observed. Nuclei are usually smaller with less air drying artifact.

Bethesda Interobserver Reproducibility Data:
NILM: Negative for Intraepithelial Lesion or Malignancy # people picked NILM: Negative for Intraepithelial Lesion or Malignancy 274 57%
Endometrial cells in a woman >= 40 # people picked Endometrial cells in a woman >= 40 3 1%
ASC-US # people picked ASC-US 81 17%
ASC-H # people picked ASC-H 46 10%
LSIL # people picked LSIL 8 2%
HSIL # people picked HSIL 25 5%
Invasive Squamous Cell Carcinoma # people picked Invasive Squamous Cell Carcinoma 29 6%
Atypical Endocervical Cells # people picked Atypical Endocervical Cells 5 1%
Atypical Endometrial Cells # people picked Atypical Endometrial Cells 1 0%
Adenocarcinoma in situ (AIS), Endocervical # people picked Adenocarcinoma in situ (AIS), Endocervical 1 0%
Adenocarcinoma # people picked Adenocarcinoma 6 1%
479 interpretations were submitted.

See Also: thumbnail for figure DS-13H.jpg
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