Table 1.
Lesions | Criteria for diagnosis | Ref. |
Cytologic HPV | Koilocytic atypia Multinucleation (frequently binucleation) Dyskeratosis Parakeratosis |
34 |
ASCUS | Nuclear enlargement approximately twice the size of an immature squamous metaplastic cell Slight increase in nucleo-cytoplasmic ratio Nuclear chromatin clumping Variation in nuclear size and shape including mild hyperchromasia, binucleation, and mild irregularity in the nuclear membranes |
35, 36 |
AGCUS | Nuclear enlargement approximately twice the size of an endocervical cell. Nuclear pseudostratification Mild hyperchromasia |
37 |
Discriminating AGUS from neoplastic endocervical cells | Presence of normal ECCs, singly or in sheets Absence of necrosis Absence of papillary groups Mild anisonucleosis Marked chromatin distribution |
37 |
EGD | Nuclei not cytologically malignant Nuclear hyperchromasia and pseudostratification Low mitotic figures Absence of papillary formation and cribriform pattern |
38 |
Histologic HPV | Koilocytic atypia: 4 points Binucleation: 2 points Dyskeratosis: one point Basal cell hyperplasia: one point Papillomatosis: one point Acanthosis: one point |
34 |