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Relationship of atypical glandular cell cytology, age, and human papillomavirus detection to cervical and endometrial cancer risks.
Abnormal cervical cytology distribution Cytology result Frequency Percent ASC-H 5 3 ASCUS 103 62 Atypical glandular cells 6 4 HGSIL 8 5 LGSIL 44 27 Total 166 100 Table 3.
OBJECTIVE: The present study aimed to assess the association between atypical glandular cells of endometrial origin in cervical cytology and histopathological findings in abnormal uterine bleeding cases.
Adhere to 2006 ASCCP guidelines for the management of women who have a cytologic finding of atypical glandular cells
Clinical Acronyms Atypical glandular cells AGC Atypical glandular cells not otherwise specified AGC-NOS Adenocarcinoma in situ AIS Atypical squamous cells ASC Atypical squamous cells: cannot exclude high-grade ASC-H Atypical squamous cells of undetermined significance ASC-US Cervical intraepithelial neoplasia CIN High-grade squamous epithelial neoplasia HGSIL Human papillomavirus HPV Low-grade squamous intraepithelial lesion LGSIL
NORMAL NO BIOPSY ATYPIA OR CYTOLOGY BIOPSY RESULT HPV ON BIOPSY CIN I Normal 6 ASCUS 2 1 10 27 LGSlL 1 1 14 65 HGSlL 2 1 7 Cancer AGUS 1 CIN II OR III CYTOLOGY AND CIS CANCER VAIN Normal 5 2 ASCUS 10 1 LGSlL 49(*) 2 HGSlL 61 Cancer 1 AGUS 2 1 HPV denotes human papillomavirus; CIN I, cervical intraepithelial neoplasia, grade 1; CIN II, cervical intraepithelial neoplasia, grade 2; CIN III, cervical intraepithelial neoplasia, grade 3; CIS, carcinoma in situ; VAIN, vaginal intraepithelial neoplasm; ASCUS, atypical squamous cells of undetermined significance; LGSIL, low-grade squamous intraepithelial lesions; HGSIL, high-grade squamous intraepithelial lesions; AGUS, atypical glandular cells of unknown significance.
The cervical lesions detected on Pap tests were categorized into 2 general groups: low-grade cervical lesions, encompassing atypical squamous cells of undetermined significance (ASC-US) and low-grade squamous intraepithelial lesions (LSILs), and high-grade cervical lesions (HGCLs), including ASC, cannot rule out HSILs; atypical glandular cells; HSILs, and carcinomas.
Epithelial abnormalities like ASCUS, ASC-H, Atypical glandular cells: NOS, Atypical endocervical cells: NOS, Atypical endometrial cells: NOS, LSIL, HSIL, Squamous cell carcinoma and Adenocarcinoma were found in 32 cases (5.36%).
Atypical Squamous cells cannot exclude a HSIL (ASC-H) (n=24/0.19%), Low Grade Squamous Intraepithelial Lesion (LSIL) (n=172/1.35%), High Grade Squamous Intraepithelial Lesion (HSIL) (n=91/17.3%) Squamous cell carcinoma (n=21/0.17%) Atypical Glandular Cells (AGC-NOS) (n=53/0.42%) Atypical Glandular Cells--favor neoplastic (n=23/0.18%) Endocervical adenocarcinoma in situ (n=01/ 0.01%) Endocervical adenocarcinoma (n=01/0.01%) Endometrial adenocarcinoma (n=19/0.15%).
Other indications include women with low-grade squamous intraepithelial lesions or atypical squamous cells of undetermined significance in whom no lesion is identified, and those with atypical glandular cells on cytology.
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