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Atlas Interpretation:
Type of Preparation: Conventional
Magnification: High
Interpretation:
HSIL
Cytomorphologic Criteria: Loose aggregate of HSIL cells with some variation in cell size and N/C ratios, irregular nuclear membranes and granular chromatin. Note that some of the metaplastic cells still show mucin/ endocervical features.
Explanatory Notes: Single dysplastic cells in a streaming pattern, especially at low power may mimic histiocytes A cluster such as this may raise the differential diagnosis of squamous metaplastic cells under lower magnification. Attention to nuclear details is essential to make these distinctions.
Follow-up: Biopsy was CIN 3 (carcinoma in situ/ sever dysplasia)
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Bethesda Interobserver Reproducibility Data:
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