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Cervix-Cytology


Reviewers: Farnaz Hasteh, M.D., UCSD Medical Center; Varsha Manucha, M.D., Temple University; Nat Pernick, M.D., PathologyOutlines.com, Inc.; Marilin Rosa, M.D., University of Florida and Xinmin Zhang, M.D., Temple University
Revised: 24 September 2012, last major update June 2011
Copyright: (c) 2006-2012, PathologyOutlines.com, Inc.

Table of contents - Cervix-cytology

Primary references,  general,  Pap,  liquid based,  Diff-Quik,  Bethesda system

Normal / benign / non-neoplastic: benign features-generaladenomyomaadenosisair drying artifactArias-Stella reactionatrophyatypical polypoid adenomyomaBarr bodyblue blobsciliacornflakesdecidual reactiondegenerationendocervical cellsendocervical polypendometrial cellsendometrial polypendometriosisendosalpingiosis / tubal metaplasiaeosinophilsexodusflorid ectopyhistiocyteshyperkeratosisinsect partsintermediate squamous cellsleiomyomalobular endocervical hyperplasialower uterine segment endometriumlymphocytesmale cellsmaturation indexmesonephric hyperplasiamesonephric remnantsmicroglandular hyperplasianavicular cellsneutrophilsparabasal cellsparakeratosisPM cellspost-hysterectomypsammoma bodiesrepairsmall blue cellssquamous cellssquamous metaplasiasquamous papillomasyncytiumtransitional metaplasiatumor diathesisunsatisfactory specimen

Inflammation/parasites: actinomycosis,  bacterial vaginosis,  Candida,  chlamydia,  chronic cervicitis,  CMV,  Enterobius,  granuloma inguinale,  granulomas,  herpes/HSV,  Lactobacillus,  Leptothrix,  Schistosomiasis,  syphilis,  Trichomonas,  tuberculosis,  Wucheria

Atypia / Premalignant / preinvasive lesions: adenocarcinoma in situ (AIS)atypical glandular cells (AGC)atypical repairatypical reserve cell hyperplasiaatypical squamous cells (ASC)chemotherapy effectcondylomaHPVHSIL/CIN IIHSIL/CINIIILSIL/CIN IPaget's diseaseradiation atypiaSIL-general

Carcinoma: adenocarcinomaadenocarcinoma-microinvasiveadenoid basaladenoid cysticadenosquamousclear cellendometrialglassy celllymphoepithelioma-likemetastases to cervixminimal deviation adenocarcinomaserous papillary adenocarcinomasignet ring cellsmall cellsquamous cell carcinomasquamous cell-microinvasiveurothelialverrucousvilloglandular papillary adenocarcinomawarty

Sarcoma / lymphoma / other: sarcoma-generalgranulocytic sarcomaleiomyosarcomalymphomamalignant mixed mullerian tumor (MMMT)melanomaplasmacytomarhabdomyosarcomastromal sarcoma

Alphabetical table of contents

A-E: actinomycosisadenocarcinomaadenocarcinoma in situ (AIS)adenocarcinoma-microinvasiveadenoid basaladenoid cysticadenomyomaadenosisadenosquamousair drying artifactArias-Stella reactionatrophyatypical glandular cells (AGC)atypical polypoid adenomyomaatypical repairatypical reserve cell hyperplasiaatypical squamous cells (ASC)bacterial vaginosisBarr bodybenign features-generalBethesda system,  blue blobsCandidachemotherapy effectchlamydiachronic cervicitisciliaclear cellCMVcondylomacornflakesdecidual reactiondegenerationDiff-Quik,  endocervical cellsendocervical polypendometrial adenocarcinomaendometrial cellsendometrial polypendometriosisendosalpingiosis / tubal metaplasiaEnterobiuseosinophilsexodus

F-N: florid ectopygeneral,  glassy cell carcinomagranulocytic sarcomagranuloma inguinalegranulomasherpes/HSVhistiocytesHPVHSIL/CIN IIHSIL/CINIIIhyperkeratosisinsect partsintermediate squamous cellsLactobacillusleiomyomaleiomyosarcomaLeptothrixliquid based,  lobular endocervical hyperplasialower uterine segment endometriumLSIL/CIN Ilymphocyteslymphoepithelioma-like carcinomalymphomamale cellsmalignant mixed mullerian tumor (MMMT)maturation indexmelanomamesonephric hyperplasiamesonephric remnantsmetastases to cervixmicroglandular hyperplasiaminimal deviation adenocarcinomanavicular cellsneutrophils

O-Z: Paget's diseasePap,  parabasal cellsparakeratosisplasmacytomaPM cellspost-hysterectomypsammoma bodiesradiation atypiarepairrhabdomyosarcomasarcoma-generalSchistosomiasisserous papillary adenocarcinomasignet ring cell carcinomaSIL-generalsmall blue cellssmall cell carcinomasquamous cell carcinomasquamous cell carcinoma-microinvasivesquamous cellssquamous metaplasiasquamous papillomastromal sarcomasyncytiumsyphilistransitional metaplasiaTrichomonastuberculosistumor diathesisunsatisfactory specimenurothelial carcinomaverrucous carcinomavilloglandular papillary adenocarcinomawarty carcinomaWucheria

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Primary references

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American Journal of Clinical Pathology
American Journal of Surgical Pathology
Archives of Pathology and Laboratory Medicine
Human Pathology
Modern Pathology
DeMay: The Pap Test: Exfoliative Gynecologic Cytology (1st Ed); ASCP, 2005
Solomon: The Bethesda System for Reporting Cervical Cytology (2nd Ed); Springer, 2005
Websites: Cytopathology of the Uterine Cervix-Digital Atlas, American Society of Cytopathology-National Cancer Institute Atlas, Johns Hopkins Cytopathology Tutorial


Please refer to these primary references for additional discussion and images

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