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Atlas Interpretation:
Interpreted image
Type of Preparation:
Conventional

Magnification:
High

Clinical History:
49 year old woman, follow-up Pap smear after treatment for SIL

Interpretation:
NILM: Keratotic cellular changes?"typical parakeratosis"

Cytomorphologic Criteria:
Note keratin pearl. Nuclei within it are small and bland.

Explanatory Notes:
"Typical parakeratosis" by itself is a benign cellular change. In this case it is likely an example of post-treatment effect in the Pap smear.

Follow-up:
No recurrence of SIL has been identified

Bethesda Interobserver Reproducibility Data:
NILM: Negative for Intraepithelial Lesion or Malignancy # people picked NILM: Negative for Intraepithelial Lesion or Malignancy 162 34%
Endometrial cells in a woman >= 40 # people picked Endometrial cells in a woman >= 40 0 0%
ASC-US # people picked ASC-US 203 43%
ASC-H # people picked ASC-H 50 11%
LSIL # people picked LSIL 29 6%
HSIL # people picked HSIL 19 4%
Invasive Squamous Cell Carcinoma # people picked Invasive Squamous Cell Carcinoma 8 2%
Atypical Endocervical Cells # people picked Atypical Endocervical Cells 0 0%
Atypical Endometrial Cells # people picked Atypical Endometrial Cells 0 0%
Adenocarcinoma in situ (AIS), Endocervical # people picked Adenocarcinoma in situ (AIS), Endocervical 0 0%
Adenocarcinoma # people picked Adenocarcinoma 0 0%
 
471 interpretations were submitted.

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