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Cervix-Cytology

Benign / non-neoplastic lesions

Leiomyoma

Reviewer: Farnaz Hasteh, M.D., UCSD Medical Center (see Reviewers page)
Revised: 21 November 2010, last major update November 2010
Copyright: (c) 2006-2010, PathologyOutlines.com, Inc.

Definition
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● Unusual finding in a pap smear, even if present in cervix

Clinical features
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● Not identified in Pap smear unless a cervical leiomyoma is present which ulcerates (DeMay: The Pap Test: Exfoliative Gynecologic Cytology; 2005)
● Pap smear diagnosis is usually infectious or otherwise abnormal (J Med Assoc Thai 1991;74:471)

Cytology description
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● Spindle cells with cigar shaped nuclei, bland chromatin
● Nuclear degeneration can occur

Cytology images
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Esophageal leiomyoma showing groups of spindled cells with relatively low cellularity

Differential diagnosis
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● Nonneoplastic smooth muscle due to prior trauma in cervix

End of Cervix-cytology > Benign / non-neoplastic lesions > Leiomyoma

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