Cervix - Cytology
Cytopathology Competency / Milestone Assessment
6. Miscellaneous nonneoplastic Conditions

Author: Ricardo R. Lastra M.D., Zubair W. Baloch, M.D. (see Authors page)

Revised: 24 May 2017, last major update January 2014

Copyright: (c) 2014-2017, PathologyOutlines.com, Inc.

PubMed search: nonneoplastic Conditions [title]

Cite this page: Miscellaneous nonneoplastic Conditions. PathologyOutlines.com website. http://pathologyoutlines.com/topic/cervixcytologycompnonneo.html. Accessed July 23rd, 2017.
Medical Knowledge
  1. Recognize fallopian tube cells
  2. Recognize benign glandular cell in post hysterectomy patients
  3. Recognize ferning of cervical mucus
  4. Recognize Curschmann spirals
  5. Recognize changes consistent with fistulae formation
    • Rectovaginal fistula
    • Vesicovaginal fistula
  6. Recognize changes consistent with neovagina according to the graft site of origin
  7. Recognize the presence of seminal vesicle cells and spermatozoa
  8. Recognize the presence of psammoma bodies
  9. Recognize reparative and regenerative changes and understand the settings in which these present
  10. Recognize atypia of atrophy and maturity and understand the clinical settings in which these present
Practice Based Learning and Systems Based Practice
  1. Understand the potential origin and significance of benign glandular cells in post hysterectomy patients
  2. Understand the significance of reactive atypia as a mimic of neoplasia in samples from patients with fistulae or neovagina
  3. Differentiate seminal vesicle cells from high grade malignancy or melanoma
  4. Understand the relationship of psammoma bodies with underlying benign or malignant processes
  5. Understand the significance of reparative / regenerative changes as mimics of neoplastic disease, recognizing cytologic features that aid in this differential
    • Cohesive nature of reparative processes
    • Presence of associated infection / inflammation in repair / regeneration
    • Absence of tumor diathesis in reparative changes
  6. Understand the significance of atypia of atrophy and maturation as mimics of neoplastic disease, recognizing clinical intervention as an aid in the evaluation of these cases
    • Repeat Pap smear post estrogen stimulation
  7. Understand the follow up care for patients with atypical repair or atrophy if dysplasia or cancer cannot be entirely ruled out