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Atlas Interpretation:
Type of Preparation: ThinPrep/ LBP
Magnification: High
Clinical History: 36 year old woman, routine exam, onset menses
Interpretation:
NILM: menstrual smear
Cytomorphologic Criteria: Three-dimensional cluster with slightly larger nuclei and nucleoli.
Explanatory Notes: Endometrial cells are only reported in women 40 or over if the glandular component is present. In this case the age is 36 years and the patient is menstruating: thus the endometrial cells do not need to be reported. Endometrial cells on liquid based preparations may look more worrisome than conventional Pap smears because nuclear details are preserved and more easily detected.
Follow-up: Two follow-up Pap tests have been normal
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Bethesda Interobserver Reproducibility Data:
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