Clinical pathology meaning of atypical squamous cell of undetermined significance in cervical cytology
10.3760/cma.j.issn.1673-4904.2011.09.010
- VernacularTitle:宫颈细胞学中未明确诊断意义的不典型鳞状细胞的临床病理学意义
- Author:
Xiuwen WANG
;
Mingzhi CHEN
;
Guizhi WANG
- Publication Type:Journal Article
- Keywords:
Uterine cervical diseases;
Cytology;
Carcinoma,squamous cell,atypical
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(9):25-26
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical pathology meaning of atypical squamous cell of undetermined significance (ASCUS) in cervical cytology. Methods The clinical data of 2118 cases who underwent cervical liquid thin-prep cell test (TCT) were analyzed retrospectively, ASCUS and squamous epithelium (SIL) were diagnosed according to the classification of the data TBS cytology, the histopathological examination results were tracked. Results The incidence of ASCUS was 3.4% (72/2218), and the ratio for SIL ( 1.2%, 25/2118) was 2.9. In the cellular pathology of ASCUS, there were four aspects, atypical surface cells and atypical hollowed cells in 16 cases (22.2%), atypical atrophy of the squamous epithelial cells in 11 cases (15.3%), atypical mature or immature metaplastic cells 28 cases (38.9%), atypical cells less influence diagnosis 17 cases (23.6%). Tracking the histologic findings in 43 cases with chronic cervicitis 22 cases (51.2%), low level squamous epithelium neoplasia in 12 cases (27.9%), high levels of squamous epithelial change in 8 cases (18.6%), squamous cell carcinoma 1 case(2.3%). Conclusion ASCUS exists within the risk of squamous lesions, management should be strengthened.
