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Atlas Interpretation:
Interpreted image
Type of Preparation:
Conventional

Magnification:
High

Interpretation:
HSIL in Mucus Strand

Cytomorphologic Criteria:
Isolated HSIL cells in a stream of mucus (lower power in upper right inset). The pattern of HSIL cells streaming within mucus can mimic histiocytes and endocervical/ metaplastic cells. At high power, HSIL can be readily distinguished from benign cellular elements.

Explanatory Notes:
This is a pattern that is important to be aware of to avoid false negatives.

Bethesda Interobserver Reproducibility Data:
NILM: Negative for Intraepithelial Lesion or Malignancy # people picked NILM: Negative for Intraepithelial Lesion or Malignancy 1 0%
Endometrial cells in a woman >= 40 # people picked Endometrial cells in a woman >= 40 0 0%
ASC-US # people picked ASC-US 1 0%
ASC-H # people picked ASC-H 1 0%
LSIL # people picked LSIL 0 0%
HSIL # people picked HSIL 463 92%
Invasive Squamous Cell Carcinoma # people picked Invasive Squamous Cell Carcinoma 30 6%
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 2 0%
Adenocarcinoma # people picked Adenocarcinoma 3 1%
 
501 interpretations were submitted.

See Also: thumbnail for figure 5_34.jpg
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