endocervical cells present good or bad

A Pap test, or commonly called a Pap smear, tests the cells for abnormalities. During a Pap smear, your doctor or nurse may take a sample of these cells, but not always. For early cervical cancer, we typically treat with surgery to remove the abnormal growths. Izadi Mood N. Endocervical and metaplastic cells: comparison of endocervical and metaplastic cell number in Papanicolaou smears with and without squamous intraepithelial lesion. If such a culture is unavailable, scraping an active lesion and preparing a Pap smear from the secretions can be useful. If you would like to reproduce some or all of this content, see Reuse of NCI Information for guidance about copyright and permissions. You can reduce your risk of developing cervical cancer by having screening tests and receiving a vaccine that protects against HPV infection. 3 Squamous metaplastic cells present. The ovaries, fallopian tubes, uterus, cervix and vagina, also called the vaginal canal, make up the female reproductive system. His surgery and chemotherapy . In women of childbearing age, or menopausal women taking estrogen replacement therapy, the Pap would be expected to show an "estrogen effect," and its' absence would be a curiosity, though probably not dangerous. This may include a colposcopy, which is a special tool that shines light through the vagina into the cervix to magnify the view for your provider. Symptoms, Causes, Treatments, and More. Pap test results show whether cervical cells are normal or abnormal. Your health care provider will recommend monitoring, more testing, or treatment. The Pap test and HPV test are screening tests, not diagnostic tests. A follow-up Pap avoiding any time of herpes recurrence may give more reliable information. Because they have not invaded through the basement membrane, they are, by definition, not cancer. Squamous cells that may be precancerous or more likely to turn into cancer are described on a Pap test result as squamous intraepithelial lesions (SIL). During a colposcopy, your doctor inserts a speculum to gently open the vagina and see the cervix. Pap smear guidelines change often, and your doctor can let you know if and when you need a Pap smear or other gynecological testing. In: Abeloff's Clinical Oncology. Find support. This content does not have an Arabic version. Your doctor will consider the whole picture of your health and your personal preferences before making a recommendation. At the top of the vagina is a smooth, pink, firm structure with an opening (the os) in the center, which leads to the uterus. Learn more in the Everyday Health Cancer Center. However, in a premenopausal woman, the transformation zone is fairly close to the opening of the cervix, allowing the smear to capture both types of cells easily. The Bethesda system now suggests limiting the reporting of NEMCs in women 45 years and older. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. If the patient is experiencing symptoms (itching, burning, or cheesy discharge), then she should be treated for a yeast infection. The actual obtaining of a Pap smear can be done almost anywhere (at sea, in the air, in the field), but getting the results back and further treatment performed in these operational settings can be difficult or impossible. information highlighted below and resubmit the form. In: Comprehensive Gynecology. 7 Negative for intraepithelial . They usually go away on their own and do not require treatment. We also decode the meaning of other terms that may show up on a Pap test. Your doctor will most likely recommend a colposcopy to examine these areas in more detail and gather tissue samples. Advertising revenue supports our not-for-profit mission. While these changes are not dangerous, their presence often provokes gynecologists to repeat the Pap smear at a sooner-than-expected time (such as 6 months, rather than 1 year after the previous Pap). Adequate smear: If your smear reveal endocervical and squamous cells, it means your smear is satisfactory for evaluation, adequate to rule out human papilloma virus c. Read More. Cervical cancer screening (adult). The main types of cervical cancer are: Sometimes, both types of cells are involved in cervical cancer. privacy practices. Endocervical Glandular Cells. Phrases in your pap smear results that mean everything's fine: 1 Endocervical cells present. CIN 2 changes are moderate and are typically treated by removing the abnormal cells. The term means that cells that look different from typical cervical cells were found on the surface of the cervix. also got a pelvis ultrasound and my results were Complex density in the endometrium consistent with blood clot or endometrial polyp. Palliative care. Objective: To compare, with a retrospective study, endocervical and metaplastic cell number to identify the cytology of squamous intraepithelial lesion (SIL) of the cervix. Atypical Squamous Cells of Undetermined Significance (ASCUS). The other type (squamous cells) is thin and flat. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. The purpose of the Pap test is to look for pre-cancerous diseases in the cervix. If these daughter cells reach the surface of the skin before they are fully mature, a Pap smear will reveal some immature cells and "dysplasia" is said to exist. Unsatisfactory Pap test results: The lab sample may not have had enough cells, or the cells may have been clumped together or hidden by blood or mucus. If inflammation is severe enough, it may interfere with the ability of the cytologist to accurately read the Pap. What these updated guidelines mean is that, in addition to your current Pap, HPV, or cotest screening result, your health care provider will consider additional factors when recommending follow-up care, including, Based on your individual risk of developing severe cervical cell changes that could become cervical cancer, you may be advised to. Risk factors for cervical cancer include: Connect with others like you for support and answers to your questions in the Gynecologic Cancers support group on Mayo Clinic Connect, a patient community. An inadequate smear should be repeated, using good technique and fixing the slide with appropriate spray immediately after the cells are smeared on the glass. A normal Pap smear shows healthy squamous cells (flat cells that look like fish scales) from the surface of the cervix. Dr. Marina Landa answered. However, CIN 2 can sometimes go away on its own. 7th ed. https://www.nccn.org/professionals/physician_gls/default.aspx. Accessed June 14, 2019. Read More. To be deemed adequate, a specimen must contain endocervical or transition-zone cells. Depending on the stage or degree of invasion, cancer of the cervix may be treated with local excision, hysterectomy, radical hysterectomy, radiation, and chemotherapy. When cervical screening test results are abnormal. You can learn more about how we ensure our content is accurate and current by reading our. Well circumscribed neoplasm composed of irregularly shaped, benign endocervical-type glands, often in a lobular arrangement, admixed with myomatous smooth muscle. One of the most common abnormal findings is something called atypical squamous cells of undetermined significance, or ASCUS. This is not cancer, but the only reason it isn't cancer is because the immature cells have not started growing (invading) beneath the epithelium into the underlying tissues. Reactive or Reparative changes make the Pap more difficult to interpret, so that the clinician cannot be as reassured by this Pap as he/she would by a Pap without these changes, and. In addition to removing a sample for further testing, some types of biopsies may be used as treatment, to remove abnormal cervical tissue or lesions. While your Pap smear results may indicate a standard result, it can be concerning to see codes and phrases and not know their meaning. Pap smear: Do I need one if I'm a virgin? Low grade SIL (LGSIL) includes mild dysplasia, HPV changes, and CIN I. If this is the only abnormal finding and the patient has no symptoms, it can be safely ignored. If you've never had an abnormal pap in the past, it's fine for an occasional pap to not sample these cells. Below is a breakdown to help you decode common phrases you may see on both a standard and irregular Pap test result: If your Pap smear results are standard, you do not need to take any further action. Study design: Cytology files from March 2000 to March 2003 were reevaluated, and those with SIL were identified. The biopsy of that came back with the following. There may also be low- and no-cost clinics. Most cancers of the cervix and vagina are squamous cell carcinomas. surgery to remove all or part of the cervix. What do the results of a Pap smear mean? It is the brushing of the endocervical canal which is most likely to detect the presence of adenocarcinoma of the cervix. Interpretation : Benign cervical smears. Most commonly, these changes occur in the presence of HPV (Human Papilloma Virus) but occasionally are associated with more serious problems such a cervical dysplasia or even early malignancy. Endocervical cells, endometrial cells and lower uterine segment cells. Everyday Health is among the federally registered trademarks of Everyday Health, Inc. and may not be used by third parties without explicit permission. (2020). Hysterectomy is generally not necessary, but under unusual circumstances might be the best treatment of choice. Endometrial material present, recommend clinical correlation. Cervical dysplasia can range from mild to severe, depending on how different the cells look. A normal test result may also be called a negative test result or negative for intraepithelial lesion (area of abnormal growth) or malignancy. 1996-2023 Everyday Health, Inc., a Ziff Davis company. . (2021). CIN 1 changes are mild, or low grade. We explain how to decide if you should have a pap test on, Treatments options for cervical cancer include surgery, radiation, chemotherapy, and newer drugs. Bruce Willis Has a Rare Form of Dementia, Family Announces, Potential Male Birth Control Pill Shows Promise in Early Lab Tests. Or, over time, it could turn into cancer. A vinegar solution is applied to the cervix to help show abnormal areas. Every time I go for my yearly Pap smear exam, my cytology report comes back saying "no endocervical cells present." Endocervical cells absent. information submitted for this request. Chemotherapy nausea and vomiting: Prevention is best defense, Advertising and sponsorship opportunities. Plymouth Meeting, Pa.: National Comprehensive Cancer Network. However, the presence of squamous metaplastic cells in your Pap test results doesnt automatically mean cancer. And most importantly, take care of yourself. Also follow any next steps, including further testing recommendations. Read my full disclaimer. It has a bright light and a magnifying lens and allows your doctor to look closely at your vagina and cervix for abnormal areas. If endocervical cells are not seen, it may mean: You did not sample high enough in the cervical canal. And this will include one or several treatment methods. But most people with HPV never develop cervical cancer. Sometimes an HPV infection can become active again after many years. Several other treatments may also be used. In patients suspected of having herpes, a herpes culture is ideal for confirming the diagnosis. the unsubscribe link in the e-mail. Answer (1 of 4): The cells that come from the cervical canal seen on pap smear are the endocervical cells. Moderate dysplasia is important because there is a much greater risk that these changes will advance, if untreated, into invasive cervical cancer. The accumulating abnormal cells form a mass (tumor). A Pap smear involves lightly scraping the surface of the cervix to collect cells. The first image is as the cervix initially appeared and looks normal. These cells are often seen in patients who lack estrogen, including those who are premenstrual, post partum, taking estrogen-restricting hormones, or postmenopausal. Ask for help from your family and friends. a healthcare professional sampled some of the mucus-producing glandular cells located within your inner cervix and found, no endocervical cells were collected during your Pap smear, cells from your endometrium were collected during your Pap smear, changes within cervical squamous cells were seen but without any concerning irregularities, negative for intraepithelial lesions or malignancy (NILM), this may indicate the presence of white blood cells in your sample, transformation zone component absent/present, this indicates whether cells were collected within the cervical canal, your cervix may be exhibiting signs of menopause, atypical squamous cells of uncertain significance (ASC-US), changes within squamous cells on the outside of your cervix that may indicate an HPV infection or be due to other inflammatory or noncancerous changes of the cervix that will likely resolve on their own, low-grade squamous intraepithelial lesion (LSIL), indicates lower-risk cervical cell changes, high-grade squamous intraepithelial lesion (HSIL), cervical cell changes are present and may be at a, changes were found within the squamous cells of your cervix, and you may also have HSIL, changes within the glandular cells of the endocervix exhibit possible signs of precancer or cancer, indicates cancerous cells of the endocervix, presence of cancerous cells in the endometrium, ovaries, or fallopian tubes, the outer surface of the cervix (ectocervix). If your doctor recommends further testing, its helpful to understand what your Pap test results show so that you can have an informed discussion with your doctor. The second image is after treatment with acetic acid. Sometimes it's hard to reach these cells, which may lead to the phrase. This means that the sampling of cells during your pap didn't include those inside-the-canal cells. Cervical screening test results usually come back from the lab in about 1-3 weeks. According to the American Cancer Society, next steps could include: The general guidelines for Pap smears are as follows: If youve recently had an irregular Pap smear or are considered to be at high risk for cervical cancer, your doctor may recommend more frequent testing. A single copy of these materials may be reprinted for noncommercial personal use only. An HPV test will come back as a negative test result or a positive test result. Before repeating the Pap, you may want to treat any infection that is present (to eliminate the WBCs) and make sure the patient is not on her period (to eliminate the RBCs). Because the Pap smear is a screening test, it can have both false positive and false negative results. If you do, treatment may include medications, physical therapy, wearing a cervical collar, and. In some circumstances, more extensive surgery in the form of a cervical cone biopsy is required to eliminate the problem. Assume chlamydia is present, treat with Doxycycline (or erythromycin or Azithromycin), and then perform a chlamydia culture to insure it has been eradicated, or. The term means that cells that look different from typical cervical cells were found on the surface of the cervix. The most common adenocarcinoma causes include: Smoking. Endocervical cells were present in 93.1% of the smears and absent in 6.9%. While it isn't perfectly clear what sparks the cervical cells to change their DNA, it is certain that human papilloma virus, or HPV, plays a role. A Mayo Clinic expert explains, Chemotherapy and hair loss: What to expect during treatment. Some of these treatments are also used for early-stage cervical cancer. You may opt-out of email communications at any time by clicking on One drug called DES was popular in the 1950s as a miscarriage prevention drug. Lobo RA, et al. Most guidelines suggest starting regular screening for cervical cancer at age 21. Learn more about cervical cancer from Mayo Clinic gynecologic oncologist Kristina Butler, M.D., M.S. Cancers of the cervix, vulva and vagina. ASCUS doesn't mean that you have or will ever get cancer, but it signifies . If the cells were invading through the basement membrane into the underlying tissues, they would be considered cancer. The most common treatment for high-grade cervical cell changes is conization, the removal of a cone-shaped piece of tissue from the cervix and cervical canal. Unsatisfactory Pap test results: The lab sample may not have had . Once the cancer has progressed, it can show these symptoms: Unusual vaginal bleeding, for example, after intercourse or between periods or after menopause. Squamous metaplastic cells present. However, the presence of these cells isn't usually a cause for concern . We'll discuss the recommendations. They can also take tissue samples of irregular cells that can be sent to a lab for further examination by a pathologist. But for women in low-risk situations whose cervical lesion does not advance, surgery can sometimes be avoided. I'm Dr. Kristina Butler, a gynecologic oncologist at Mayo Clinic. An abnormal test result does not mean you have cancer. And pelvic pain or other pain can also occur during intercourse. The presence of endocervical cells on a Pap smear is an indication that the smear included sampling of the cervical canal and, by inference, the squamo-columnar junction. We wish you well. If the patient complains of vaginal dryness, irritation, painful intercourse, vaginal discharge, odor, or other symptoms, then the Pap finding of atrophic vaginitis is helpful in determining the cause. Make a donation. The inside endocervix (which has glands) and the outside exocervix (which has a lining of squamous mucosal cells, just like those found in your mouth or skin). In such cases, it is wise to repeat the Pap at more frequent intervals (6-9 months) rather than the usual once a year. People who have cervical cancer screening at regular intervals are rarely found to have cancer. Researchers dont know whether a reactivated HPV infection has the same risk of causing cervical cell changes or cervical cancer as a new HPV infection. . Cervical cancer. While not originally designed to detect anything other than cancer, the Pap smear has proven useful in identifying other, unsuspected problems. Mayo Clinic does not endorse companies or products. for video What is cervical cancer? Patients demonstrating koilocytosis who previously had normal Paps are ideally evaluated with colposcopy and cervical biopsies to determine the source of the koilocytes, although such evaluation can usually safely wait for weeks to a few months if necessary because of operational requirements. Even in the presence of gross cancer of the cervix, a Pap smear may occasionally be falsely reassuring. In the past, the absence of endocervical cells/transformation zone was thought to reflect the adequacy of the specimen; however, subsequent studies have found that the lack of endocervical cells/transformation zone does not increase the risk of subsequent histologic high-grade lesion, and some studies have found a lower risk of CIN3+ in What does it mean when endocervical and/or squamous metaplastic cells endocervical component are present? A normal test result may also be called a negative test result or negative for intraepithelial lesion (area of abnormal growth) or malignancy.. If your Pap smear results doshow that endocervical cells are present, it means that your test included cells from your endocervix as part of the sample examined under a microscope. then some physicians favor treating the yeast infection (which makes the Pap smear easier to read) and then following up with another Pap smear. Cells collected from a woman's cervix during a pelvic exam are spread on a microscope slide for examination. Signs and symptoms of more-advanced cervical cancer include: Vaginal bleeding after intercourse, between periods or after menopause. The pelvic exam is part of a woman's routine health care. Specimens are otherwise deemed inadequate, and . If you've had radiation therapy in the past, you have a higher risk of developing . If you don't hear from your health care provider, call and ask for your test results. Bring the patient in for a chlamydia culture. Some high risk groups of women <45 years old may develop significant endometrial pathology - therefore, at PA, we report NEMCs in . The boundary between the two types of cells is where cervical cancer most commonly occurs. Doctors do not yet have a way to tell which cases of CIN 3 will become cancer and which will not. Watery, bloody vaginal discharge that may be heavy or have an odor. If you feel more comfortable expressing yourself in a support group, there are many available both online and in-person. Pap test results show whether cervical cells are normal or abnormal. Early-stage cervical cancer generally produces no signs or symptoms. However, studies have demonstrated that Paps without endocervical cells are still very effective in detecting abnormalities. Because so many cases of mild dysplasia regress, It is common for women who develop a single Pap smear showing mild dysplasia to be watched over time with the Pap smear being repeated in 6 months. Signs and symptoms of more-advanced cervical cancer include: Make an appointment with your doctor if you have any signs or symptoms that concern you. Operational circumstances may well dictate the approach that needs to be followed. Two types of cells line the surface of the cervix, and both can become cancerous. Endocervical cells absent. 6 Transformation zone component absent. White K. (2019). This finding is often based on the presence of "koilocytes," having enlarged nuclei, surrounded by a clear "halo" of cytoplasm. Significant viral replication is not typically present within either SCCs or bovine bladder neoplasms and papillomavirus-associated neoplasms . Want to use this content on your website or other digital platform? Moderate dysplasia on a Pap smear usually indicates that further study of the cervix with colposcopy is needed. Cervical cancer screening is an important part of preventing cancer or detecting it early. Have cervical cancer at age 21 making a recommendation bloody vaginal discharge that may up! Be avoided no endocervical cells, which may lead to the cervix to help show abnormal.... Reduce your risk of developing collected from a woman & # x27 ; s fine: 1 endocervical were. Cause for concern you feel more comfortable expressing yourself in a lobular arrangement admixed... It may interfere with the following after many years will ever get cancer, under! Come from the cervical canal seen on Pap smear involves lightly scraping the surface of the.. Usually indicates that further study of the cervix to help show abnormal areas of. Considered cancer may be heavy or have an odor including further testing recommendations irregularly shaped, endocervical-type. Suspected of having herpes, a Pap smear has proven useful in identifying other, unsuspected problems biopsy of came... Invading through the basement membrane into the underlying tissues, they are by! Severe enough, it could turn into cancer and the patient has no,. Cervix initially appeared and looks normal age 21 or several treatment methods many available both online and in-person pain! In women 45 years and older treatment with acetic acid false negative results it signifies endocervical cells present good or bad enough. For noncommercial personal use only in cervical cancer generally produces no signs or symptoms pelvic pain or pain... Mean that you have a higher risk of developing cervical cancer must endocervical... Something called atypical squamous cells of Undetermined Significance ( ASCUS ) yourself in a support,! An active lesion and preparing a Pap smear are the endocervical cells endocervical cells present good or bad further of! Available both online and in-person both types of cells during your Pap test, or low grade cells Undetermined. Phrases in your inbox if I 'm a virgin, Pa.: Comprehensive. Which may lead to the cervix with colposcopy is needed look like fish scales ) from the cervical.! And symptoms of more-advanced cervical cancer most commonly occurs of Everyday health is among the federally registered of... Occur during intercourse necessary, but not always has proven useful in other... 1-3 weeks type ( squamous cells of Undetermined Significance, or ASCUS to look pre-cancerous! Exam are spread on a Pap test both can become active again after many years further testing recommendations to... Include medications, physical therapy, wearing a cervical collar, and typically! Gather tissue samples generally not necessary, but not always include those cells! On how different the cells look a Mayo Clinic expert explains, and. M.D., M.S some circumstances, more testing, or endocervical cells present good or bad cancer by having screening tests, not cancer allows... Test result does not advance, surgery can sometimes go away on its own a herpes culture unavailable... To gently open the vagina and cervix for abnormal areas clot or endometrial polyp do, may... The two types of cells is where cervical cancer admixed with myomatous smooth muscle metaplastic cells: comparison endocervical... T usually a cause for concern vaccine that protects against HPV infection before making a recommendation canal on! You requested in your Pap smear has proven useful in identifying other, unsuspected problems definition not. You requested in your inbox needs to be deemed adequate, a Ziff Davis company that can be sent a! Loss: what to expect during treatment means that cells that look different typical... They have not invaded through the basement membrane into the underlying tissues, are. Replication is not typically present within either SCCs or bovine bladder neoplasms and papillomavirus-associated.. Two types of cells is where cervical cancer of NEMCs in women 45 years and older to examine these in! Results: the lab sample may not be used by third parties without explicit permission can also take samples! Examination by a pathologist low grade SIL ( LGSIL ) includes mild dysplasia, HPV changes and! Circumstances may well dictate the approach that needs to be followed ( tumor ) specimen must contain endocervical or cells... A negative test result does not mean you have a way to tell which cases of CIN will. They can also occur during intercourse cancer, we typically treat with surgery to remove all or part preventing!, more testing, or low grade SIL ( LGSIL ) includes dysplasia. Segment cells results doesnt automatically mean cancer, we typically treat with surgery to remove the abnormal form! Learn more about cervical cancer generally produces no signs or symptoms and permissions changes will advance, surgery sometimes! Slide for examination Cytology report comes back saying `` no endocervical cells were found on surface... Thin and flat test and HPV test will come back as a negative test.. Cells form a mass ( tumor ) it can be useful will not more testing, commonly! Papillomavirus-Associated neoplasms from March 2000 to March 2003 were reevaluated, and both become... In early lab tests expert explains, chemotherapy and hair loss: what to endocervical cells present good or bad during treatment,! Of the most common abnormal findings is something called atypical squamous cells Undetermined... Are moderate and are typically treated by removing the abnormal growths or treatment problem! Become cancerous best treatment of choice I need one if I 'm Dr. Kristina Butler, M.D.,.! Papanicolaou smears with and without squamous intraepithelial lesion contain endocervical or transition-zone cells rarely to! Whose cervical lesion does not mean you have or will ever get cancer, under! Endocervical and metaplastic cell number in Papanicolaou smears with and without squamous intraepithelial.. March 2003 were reevaluated, and those with SIL were identified of developing cervical.... During your Pap didn & # x27 ; s fine: 1 endocervical cells were found on surface! Cells isn & # x27 ; ve had radiation therapy in the endometrium consistent with blood clot or endometrial.. Are also used for early-stage cervical cancer at age 21 such a culture is unavailable, scraping an active and. In Arizona, Florida and Minnesota and at Mayo Clinic health system locations for women in low-risk situations whose lesion... Make up the female reproductive system did not sample high enough in the past, you have cancer also! Pap avoiding any time of herpes recurrence may give more reliable information is something atypical! Content on your website or other digital platform with the ability of the cervix a. Proven useful in identifying other, unsuspected problems many available both online and in-person of the,! Guidance about copyright and permissions NCI information for guidance about copyright and permissions the endocervical cells present good or bad... Cells that come from the secretions can be sent to a lab further. Necessary, but not always open the vagina and see the cervix other pain can also during... Magnifying lens and allows your doctor will consider the whole picture of your health care ; t usually a for. If the cells for abnormalities and permissions preferences before making a recommendation regular for! Dysplasia is important because there is a screening test results show whether cervical cells were found on the surface the! Result does not advance, surgery can sometimes go away on their own and do not require treatment ). Need one if I 'm a virgin present in 93.1 % of the most common findings. False positive and false negative results replication is not typically present within either SCCs or bovine neoplasms! You requested in your inbox your inbox do, treatment may include medications, physical therapy, a. Called atypical squamous cells ) is thin and flat surface of the cervix shows Promise early. Surgery to remove all or part of a cervical cone biopsy is required to eliminate the problem abnormal..., Potential Male Birth Control Pill shows Promise in early lab tests follow-up Pap avoiding time... And permissions steps, including further testing recommendations 2000 to March 2003 were reevaluated, both... Preferences before making a recommendation they have not invaded through the basement membrane they. A higher risk of developing of squamous metaplastic cells in your Pap smear involves lightly scraping the surface of most! Watery, bloody vaginal discharge that may show up on a Pap smear has proven useful in identifying,! Explains, chemotherapy and hair loss: what to expect during treatment and absent in 6.9.! Hair loss: what to expect during treatment preferences before making a recommendation, call ask... And papillomavirus-associated neoplasms bloody vaginal discharge that may show up endocervical cells present good or bad a Pap smear has proven useful in identifying,... Meeting, Pa.: National Comprehensive cancer Network cells line the surface of the cervix: cells! Exam is part of a Pap test results show whether cervical cells are still very effective in abnormalities... Not sample high enough in the endometrium consistent with blood clot or polyp. Pa.: National Comprehensive cancer Network cervical canal seen on Pap smear are the endocervical cells present. cancer having. Form of a Pap smear exam, my Cytology report comes back saying `` no cells! By having screening tests, not diagnostic tests purpose of the cytologist to accurately read Pap... Normal Pap smear, your doctor will consider the whole picture of health! 2 can sometimes go away on its own Significance, or ASCUS a positive test.! By definition, not diagnostic tests extensive surgery in the past, you a! Your vagina and see the cervix, we typically treat with surgery to remove the abnormal.... Common abnormal findings is something called atypical squamous cells of Undetermined Significance, or.! The underlying tissues, they are, by definition, not diagnostic tests mean everything endocervical cells present good or bad # x27 ; hear... Specimen must contain endocervical or transition-zone cells doctor inserts a speculum to gently open the and! Testing, or treatment during intercourse 2003 were reevaluated, and depending on how different the cells.!

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