Multinucleated Giant Cell.

ABC Of Cytology Revision -3 D: Diethylstilbestrol. Got this image from BAC page. PAP smear from a patient with vaginal adenosis. The generational effect of diethylstilbestrol is well documented. Image no doubt HSIL. However, histology reported to be Low Grade. Am curious.

Experts Argue Over Cytology Images-36 This image is raising dust among experts. What's your diagnosis? Of course it is PAP smear.

HSIL Or Histiocytes?

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ABC Of Cytology Revision- 4 E: Endometrial Stromal Cells. You will think this is HSIL but No. They are endometrial stromal cells seen between day 5-8 of the oestrus cycle. They form the outer layer of exodus. You can see the school fish streaming. A must Know diagnostic pitfall.

Very Rare. Yet, PAP test did its job as a powerful screening tool. Bookmarked.

Experts Argue Over Cytology Images-37 What's Your Diagnosis? Some say Endocervical cells. To others AIS To Few HSIL Me. AGC What about you?

I will call this 'Frying' nuclei plus clinging tumour diathesis= Malignant.

The bottom line in this, is that you can't tell this patient to go home and that all is well. Colposcopy or biopsy calling..

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ABC Of Cytology Revision -5 T: Tissue Repair Distinct intercellular borders. Low N/C ratio

Experts Argue Over Cytology Images-38 What's Your Diagnosis Some say NILM Others say AIS Me: HSIL

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ABC Of Cytology Revision -6 T: Tubal Metaplasia Cells present with terminal bars and cilia. Hyperchromatic columnar cells probably from fallopian tube. Functional disorder that may impair fertility.

I Call This ' Eye Lashes'. Reactive Endobronchial Cells.

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Experts Argue Over Cytology Images-39 What's Your Diagnosis Some AGC/ AGUS Others Adenocarcinoma Few Endometrial cells One CIS Me: HSIL with glandular involvement