Cervical cytology: Difference between revisions
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==Main conditions to exclude or confirm== | ==Main conditions to exclude or confirm== | ||
'''Squamous atypia''', seen mainly as cells with increased nucleus/cytoplasm ratio, nuclear hyperchromasia and irregular nuclear outline. | '''Squamous atypia''', seen mainly as cells with increased nucleus/cytoplasm ratio, nuclear hyperchromasia and irregular nuclear outline. | ||
If the slide has been previously marked by a cytotechnologist or other previewer, grade the marked cells first. Then, you only need to look for worse findings on the rest of the slide. | |||
<gallery mode=packed heights=220> | <gallery mode=packed heights=220> | ||
File:Atipia de células escamosas (ASCUS, ASC) (9392112063).jpg|'''Atypical squamous cells of undetermined significance (ASCUS)''', with only few slightly atypical cells | File:Atipia de células escamosas (ASCUS, ASC) (9392112063).jpg|'''Atypical squamous cells of undetermined significance (ASCUS)''', with only few slightly atypical cells | ||
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If you are uncertain of the degree of dysplasia, it can be useful to look up how much difference it will likely make for the management of the patient. You may make an Internet search for the management of abnormal cervical screening in your region (such as [https://app.asccp.org/ The ASCCP tool] for management in the US). A change from close follow-up to colposcopy is not that big of a deal, but if one of the alternatives will lead to a diagnostic excision, make sure that the case is looked upon by commensurate expertise. | If you are uncertain of the degree of dysplasia, it can be useful to look up how much difference it will likely make for the management of the patient. You may make an Internet search for the management of abnormal cervical screening in your region (such as [https://app.asccp.org/ The ASCCP tool] for management in the US). A change from close follow-up to colposcopy is not that big of a deal, but if one of the alternatives will lead to a diagnostic excision, make sure that the case is looked upon by commensurate expertise. | ||
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==Other findings== | ==Other findings== | ||
<gallery mode=packed heights=220> | <gallery mode=packed heights=220> | ||