Cervix - Cytology
Benign cells / nonneoplastic lesions

Topic Completed: 1 December 2010

Revised: 23 December 2019

Revised: 21 December 2018, last major update December 2010

Copyright: (c) 2006-2017, PathologyOutlines.com, Inc.

PubMed search: Post hysterectomy cervix [title]

Nat Pernick, M.D.
Page views in 2019: 1,700
Page views in 2020 to date: 104
Cite this page: Pernick N. Post - hysterectomy. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/cervixcytologyposthysterectomy.html. Accessed January 28th, 2020.
Definition / general
  • Vaginal vault smears are obtained for routine follow up
  • Routine vaginal cuff cytology screening tests may not need to be performed if hysterectomy was performed for benign uterine conditions (J Am Board Fam Pract 2000;13:233)
Case reports
  • 76 year old woman with posthysterectomy fallopian tube carcinoma presenting with positive cervicovaginal smear (Obstet Gynecol 1999;94:834)
Cytology description
  • Vaginal vault smears contain glandular cells with delicate cytoplasm and a honeycomb arrangement of cells (atrophic parabasal cells)
  • Vaginal vault smears may contain columnar or metaplastic cells (Cytopathology 1999;10:122)
  • Intracytoplamic mucin (endocervical cells) may be present (Acta Cytol 1998;42:1403)
  • Often features of inflammation / repair in background
Cytology images

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Missing Image

Glandular and squamous cells

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