Apps
Cytology
→
gyn
→
cervix
LSIL
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Clinical
2.5% of all paps
prognosis
many regress
can persist
21% progress to HSIL
<1% progress to invasive
management
colposcopy
Criteria
nuclei 3x normal
mild NC ratio increase
variable nuclear size
other nuclear atypia mild
hyperchromatic or normal
uniform chromatin
smudgy
granular
opaque
irregular or smooth nuclear contour
nucleoli inconspicuous
halo (not required)
decent diameter
shap border/rim
binucleation common
Ddx
reactive
reactive squamous cells
reactive endocervical cells
looks polygonal like squams
but lives amongst endocervical cells
nonspecific halos
smaller than koilocyte halos
lack nuclear atypia
trichomonas
other infections
artifact
ASCUS
radiation change
benign nuclear enlargement
perimenopausal