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Difference between revisions of "Gynecologic cytopathology"
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→Abnormal non-malignant cells: more
(→Adenocarcinoma of the endocervix: +carpet beetle parts) |
(→Abnormal non-malignant cells: more) |
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*Older patients... more estrogen, glycogen. | *Older patients... more estrogen, glycogen. | ||
=== | ===Unusual non-malignant cells=== | ||
#Clue cells: | #Clue cells: | ||
#*Purple squamous cell; squamous cell covered with bacteria. | #*Purple squamous cell; squamous cell covered with bacteria. | ||
| Line 76: | Line 76: | ||
#*Abundant cytoplasm with vacuolization. | #*Abundant cytoplasm with vacuolization. | ||
#*May be seen in the context of chlamydia. | #*May be seen in the context of chlamydia. | ||
#Navicular cell: | |||
#*Intermediate cells with: | |||
#**Folded edges. | |||
#**Abundant cytoplasmic glycogen. | |||
#*Note: | |||
#**Cells often described as ''boat-shaped''. | |||
#**May resemble the lenses of ''coke bottle glasses''. | |||
#**Associated with: [[pregnancy]], contraception with medroxyprogesterone acetate (Depo-provera).<ref name=pmid10945902>{{Cite journal | last1 = Volk | first1 = EE. | last2 = Jax | first2 = JM. | last3 = Kuntzman | first3 = TJ. | title = Cytologic findings in cervical smears in patients using intramuscular medroxyprogesterone acetate (Depo-provera) for contraception. | journal = Diagn Cytopathol | volume = 23 | issue = 3 | pages = 161-4 | month = Sep | year = 2000 | doi = | PMID = 10945902 }}</ref> | |||
Images: | Images: | ||
*[http://www.atsu.edu/faculty/chamberlain/Website/lectures/lecture/image/clue2.jpg Clue cell (atsu.edu)]. | *[http://www.atsu.edu/faculty/chamberlain/Website/lectures/lecture/image/clue2.jpg Clue cell (atsu.edu)]. | ||
| Line 81: | Line 90: | ||
*[http://rapids001.techriver.net/nih/patientImages/1826.jpg Endometrial cells - double contour (techriver.net)]. | *[http://rapids001.techriver.net/nih/patientImages/1826.jpg Endometrial cells - double contour (techriver.net)]. | ||
*[http://nih.techriver.net/view.php?patientId=221 Endometrial cells with "exodus" pattern (techriver.net)]. | *[http://nih.techriver.net/view.php?patientId=221 Endometrial cells with "exodus" pattern (techriver.net)]. | ||
*[http://www.flickr.com/photos/28287204@N02/3083659626/ Navicular cells (flickr.com)]. | |||
*[http://www.flickr.com/photos/28287204@N02/3112533994/ Cluster of navicular cells (flickr.com)]. | |||
==Glycogen halos versus HPV effect== | ==Glycogen halos versus HPV effect== | ||