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Atlas Interpretation:
Interpreted image
Type of Preparation:
Conventional

Magnification:
High

Clinical History:
51 year old postmenopausal woman with hx of gastric carcinoma and ascites

Interpretation:
Other Malignant Neoplasms: Metastatic gastric carcinoma

Cytomorphologic Criteria:
A small cluster of cells has malignant nuclear features and displays a cell within cell arrangement commonly seen in gastric carcinoma. A cytoplasmic vacuole is present in one of the single cells.

Explanatory Notes:
A clean background or lack of tumor diathesis is a common finding compatible in metastatic rather than primary tumors of the cervix. The differential diagnosis based on the cytologic features includes metastatic breast carcinoma.

Bethesda Interobserver Reproducibility Data:
NILM: Negative for Intraepithelial Lesion or Malignancy # people picked NILM: Negative for Intraepithelial Lesion or Malignancy 4 1%
Endometrial cells in a woman >= 40 # people picked Endometrial cells in a woman >= 40 0 0%
ASC-US # people picked ASC-US 7 1%
ASC-H # people picked ASC-H 23 4%
LSIL # people picked LSIL 1 0%
HSIL # people picked HSIL 264 51%
Invasive Squamous Cell Carcinoma # people picked Invasive Squamous Cell Carcinoma 146 28%
Atypical Endocervical Cells # people picked Atypical Endocervical Cells 5 1%
Atypical Endometrial Cells # people picked Atypical Endometrial Cells 12 2%
Adenocarcinoma in situ (AIS), Endocervical # people picked Adenocarcinoma in situ (AIS), Endocervical 2 0%
Adenocarcinoma # people picked Adenocarcinoma 49 10%
 
513 interpretations were submitted.

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