Dr Sanjiv Manek and members of Royal Berkshire Cytology Laboratory

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Dr Sanjiv Manek and members of Royal Berkshire
Cytology Laboratory
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CASE 1

• Cervical smear
• Age 24
• Day 9
• Irregular os, contact bleeding
• Previous history of
• Mild dyskaryosis 2000
• Borderline change 2001
• Negative smear 2003

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CASE 1

• Cytology Report
• Borderline change.
• Colposcopy advised.

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Lletz - LP
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Lletz - HP
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Lletz - HP
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Lletz - xX
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CASE 1

• Histology Report
• Adenosquamous carcinoma
• of the cervix

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CASE 2

• Cervical smear
• Age 24
• Day 15
• Small polyp, PCB
• First smear

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CASE 2

• Cytology Report
• Widespread dyskaryosis with severe dyskaryosis
  and features raising the possibility of invasion.
  
• Urgent gynaecological referral advised.

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Case 2 - Lletz x LP
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Case 2 Lletz - HP
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Case 2 Lletz - HP
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CASE 2

• Histology Report
• CIN1 in Condyloma acuminatum

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CASE 3

• Vault smear
• Age 39
• TAH for ca cervix 2001
• Four years negative annual follow up
• Smear from Gynae Dept Induration at vault
  ?recurrence

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CASE 3

• Cytology Report
• Atypical cells of uncertain significance. Advise
  follow-up according to biopsy results.

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Vault biopsy - LP
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Vault biopsy - LP
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Vault biopsy - HP
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Vault biopsy - HP
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Vault biopsy - HP
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CASE 3

• Histology Report
• Recurrent poorly differentiated
• squamous cell carcinoma