Cervix
Premalignant / preinvasive lesions
Atypical squamous lesion of cervix

Author: Nat Pernick, M.D. (see Authors page)

Revised: 17 April 2017, last major update October 2013

Copyright: (c) 2003-2017, PathologyOutlines.com, Inc.

PubMed search: Atypical squamous lesion of cervix

Cite this page: Atypical squamous lesion of cervix. PathologyOutlines.com website. http://pathologyoutlines.com/topic/cervixatypicalsquamouslesion.html. Accessed September 25th, 2017.
Definition / general
  • Terminology more appropriate for cytology than for biopsy specimens
  • May be reactive or neoplastic (HPV related, LSIL, HSIL)
  • In cervical smears, often related to SIL
Features Suggesting Reactive or Neoplastic
Features suggestive of neoplasia (5 or more) vs. reactive (0 - 2) are:
  • Mitotic figures
  • Vertical nuclear growth pattern
  • No perinuclear halo
  • Indistinct cytoplasmic border
  • Primitive cells in upper 1/3 of squamous layer
  • p16+ cells in upper 2/3 of squamous layer
  • Ki67+ cells in upper 2/3 of squamous layer (Am J Clin Pathol 2005;123:699)

Reactive changes are present in 2 - 3% of cervical smears and include:
  • Normal N/C ratio
  • Intercellular bridges
  • Regular nuclear membrane
  • Finely granular chromatin and prominent nucleoli but no organization disruption
  • No/rare mitotic figures
  • No abnormal mitotic figures
  • May be occasional binucleated cells or neutrophils in epithelium
Microscopic (histologic) images

Images hosted on PathOut server:

Normal architecture and polarity

Prominent nucleoli