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Cytopathology of the uterine cervix - digital atlas

ASC-H or HSIL?  Rechercher ASC-H or HSIL?

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Smear containing basal cells, arranged in Indian files, with enlarged and irregular nuclei and a dense chromatin, suggesting high grade SIL: ASC-H vs HSIL. (obj. 20x)
Smear containing isolated basal cells, with enlarged and irregular nuclei and a dense chromatin, suggesting high grade SIL: ASC-H vs HSIL. (A: obj. 20x, B: obj. 40x)
Smear containing isolated basal cells, with enlarged and irregular nuclei (arrow) and a dense chromatin, suggesting high grade SIL: ASC-H vs HSIL. (A: obj. 20x, B: obj. 40x)
Smear containing basal cells, with enlarged, irregular nuclei and dense chromatin (arrow), suggesting a high grade SIL: ASC-H vs HSIL. (obj. 40x)
Smear containing one basal cell (arrow) with an enlarged, irregular nucleus and dense chromatin, suggesting a high grade SIL: ASC-H vs HSIL. (obj. 40x)
Inflammatory smear containing parabasal cells with enlarged nuclei, with irregular outlines surrounded by a clear halo, grouped in line: ASC-H (HSIL?) (obj. 10x)
Cluster of basal cells and some isolated cells with enlarged nuclei, an irregular chromatin and a thickened nuclear membrane. ASC-H. (A, B, C and D : obj. 40x)
Syncytial group of basal and parabasal cells with enlarged nuclei (immature metaplasia), an irregular but clear chromatin and a thickened nuclear membrane. ASC-H (HSIL?). (A: obj. 20x, B: obj. 40x)
Isolated atypical cells, of intermediate or parabasal type, with nuclear enlargement, irregular nuclear outlines (arrows) and coarse chromatin. HSIL. (obj. 20x)
Clusters and isolated parabasal cells with enlarged nuclei, single or multiple, with irregular nuclear outlines and coarse chromatin. HSIL. (obj. 20x)
Some basal cells, isolated or grouped, with enlarged nuclei, irregular nuclear outlines and coarse chromatin. HSIL. (obj. 20x)
Isolated atypical parabasal cells: ASC-H in this field but final diagnosis: HSIL. (obj. 20x)
HSIL: inflammatory smear with clusters of parabasal cells with enlarged, hyperchromatic, irregularly outlined nuclei. An immature metaplasia is a possibility. Final diagnosis: HSIL. (A: obj. 10x, B: obj. 20x)
Inflammatory smear with clusters of parabasal cells with enlarged, hyperchromatic, irregularly outlined nuclei. In this field: ASC-H. Final diagnosis: HSIL. (A: obj. 10x, B: obj. 20x)
Basal cells with enlarged nuclei and irregular chromatin, in between normal superficial and intermediate cells. These occasional cells do not allow a definite diagnosis of HSIL. It will be advisable to give a diagnosis of ASC-H on this picture. (A and B: obj. 20x)
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