Concluded Case

Atypical squamous cell of undetermined significance ( ASCUS)

35 years female. Cervical PAP smear. Diagnosis...

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Concluded answer

Atypical squamous cell of undetermined significance ( ASCUS).

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Inflammatory smear Some intermediate cells look elliptical with peripheral cytoplasmic condensation.. binuclation and perinuclear clearing. S. O.. Early HPV related cellular changes in inflammatory background. Sug. HPV DNA PCR CX BX.. to search for koilocytes

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@S M Sarfaraj Cervisitis abnormal vaginal bleeding. persistent gray or white vaginal discharge that may have an odor. vaginal pain. pain during intercourse. a feeling of pelvic pressure. backaches. Chlamydia is typically treated with oral antibiotics such as azithromycin (Zithromax), doxycycline (sold under several brand names), ofloxacin (Floxin) or levofloxacin (Levaquin). Trichomoniasis is treated with the antibiotic metronidazole.

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Adequate pap smears show superficial and intermediate squamous cells and parabasal cells. Honeycomb clusters of endocervical cells are also seen. Background shows few scattered neutrophils. No evidence of intraepithelial lesion or malignancy (NILM) IMPRESSION: smears within normal limits (WNL)

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NILM with inflammatory smear

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Atypical squamous cell of undetermined significance ( ASCUS).

NILM inflamatory smear

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