Cytopathology Conference

10/20/2005

Case 1

Pap test from a 55-year-old female s/p previous hysterectomy for ovarian cancer

Diagnosis?

LGSIL (CINI)

LGSIL

• Nucleus: 3-4x the size of an IM cell

• Koilocytes: HPV effect

• Majority regress

• Management: Colpo and bx– 20-30% harbor a high grade lesion in the canal