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Answer:
5. CarcinomaNecrotic cellular debris (tumour diathesis) in the background
w Crowded
clusters of atypical cells
w Some
papillary groups
w Abnormal
cells with moderate amount of cytoplasm, nuclear enlargement with
enlarged nucleoli
w
 What type of papillary carcinoma? 1. Papillary squamous cell carcinoma 2. Serous papillary adenocarcinoma 3. Villoglandular adenocarcinoma |
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- Large cohesive sheets with nuclear crowding and loss of honeycomb pattern
- w True papillary fragments with central stromal core and polarised cells with smooth surface
- w No ‘feathered edge’
- w Nuclear crowding and overlapping prominent
- w Slight increase NC ratio and hyperchromasia
- w Chromatin finely granular and evenly distributed
- w Nucleoli absent or inconspicuous
- w Most cases missed on pap smears
Answer:
3. Villoglandular adenocarcinoma - rare subtype of adenocarcinoma of cervix
Cytologic features: