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Atlas Interpretation:
Interpreted image
Type of Preparation:


Clinical History:
89 year old woman with hx of high grade urothelial carcinoma diagnosed two years previously

Other malignant neoplasms: metastatic transitional cell carcinoma

Cytomorphologic Criteria:
Single and small aggregates of malignant cells are diagnostic of a poorly differentiated carcinoma. A mitotic figure and a bloody background are also noted. The findings are compatible with the patient's previous high grade tumor.

Explanatory Notes:
Transitional cell carcinoma is one of the most commonly encountered secondary tumors in cytologic cervical samples, and may involve the cervix/ vagina by direct extension or as a pagetoid spread to the vagina. Its cytologic features may overlap with squamous cell carcinoma.

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