E N D
12. Answers D Squamous Metaplasia
Nuclei not enlarged, smooth contours, NC ratio OK. Not HSIL.
A Endocervical cells
Small round and regular nuclei. Compare to Ques #1.
E Reactive
See the trichomonas organism!
D LSIL
Koilocytes!
D LSIL
Koilocytes!
B Parakeratosis
Sometimes associated with dysplasia
D HSV
Herpes Simplex Viral changes in Nucleus
D Adenocarcinoma
Crowded overlapping nuclei with prominent nucleoli. No “feathering” so not Adeno in situ (AIS)
E HSIL
High NC ratio, irregular nuclei. This actually turned out to be a SCCA on biopsy.
A Reactive
No dysplasia, just some squamous cells with neutrophils.