Apps
Cytology
→
gyn
→
cervix
AIS
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Clinical
1 AIS per 36 cases of HSIL
management
colposcopy with endocervix sampling
diagnostic excision
Criteria
architecture
loss of honeycomb structure
sheets
clusters
pseudostratified strips
rosettes
nuclear atypia
NC ratio increased
crowding
overlap
pseudostratification
hyperchromasia
even coarse chromatin
nucleoli is usually inconspicuous
mitosis, apoptosis common
glandular features
columnar cells
featuring
elongated nuclei
feathering
strips, rosettes
no tumor diathesis
Ddx
endometrial cells
exfoliated, abraded
LUS
menstrual can have mitosis
more orderly arrangement
reactive endocervical
less hyperchromasia
more varied nuclear sizes
prominent nucleoli
tubal metaplasia
terminal bars
cilia
repair
HSIL
adenocarcinoma