CYTOPATHOLOGY REPORT

Luis Guillermo Cruz y Paterno MD.

Name: Paola Tucay LQPREP NO: 2208-147641
Clinical Diagnosis: Age: 37
LMP: 7/31/2022 Date: 8/30/2022
R Physician: Eliza Blanches S. Alay-Ay MD. HOSPITAL: MCT

LIQUI-PREP CERVICO - VAGINAL SCREENING SYSTEM

SPECIMEN ADEQUACY
X Satisfactory with complete data
A1. Satisfactory but limited by lack on endocervicals
Satisfactory but limited by lack of data
Satisfactory but limited by marked obscurring inflammation
Satisfactory but limited by obscurring blood and autolytic changes

GENERAL CATEGORIZATION
X NEGATIVE FOR EPITHELIAL LESION OR MALIGNANCY
Organisms
Trichomonas vaginalis
Fungal organism morphologically consistent with Candida sp
X Shift in vaginal flora suggestive of BACTERIAL VAGINOSIS
Bacteria morphologically consistent with Actinomyses spp
Cellular changes associated with Herpes simplex virus
Other Non-neoplastic Findings
Reactive cellular changes associated with:
Inflammation (includes typical repair)
Radiation changes
Intrauterine Contraceptive Device (IUD)
Benign appearing glandular cells status post hysterectomy (underline if present)
Atrophy
EPITHELIAL CELL ABNORMALITIES
SQUAMOUS CELLS
Atypical cells
of undetermined significance (ASC-US)
cannot exclude High Grade Intraepithelial Lesion (ASC-H)
Low Grade Epithelial Lesion (LSIL)
encompassing: Human Papilloma Virus/ mild dysplasia/ CIN 1
High Grade Epithelial Lesion (HSIL)
encompassing: moderate and severe dysplasia, CIS/CIN 2 & CIN 3
with features suspicious for invasion (if suspected)
GLANDULAR CELLS
Atypical cells
Endocervical Endometrial Glandular
Atypical glandular/ endocervical cell, favor neoplastic (check if present)
Endocervical Adenocarcinoma in situ ( check if present)
HORMONAL EVALUATION (applies to vaginal smears only) 0/70/30
X Hormonal pattern compatible with age and history
Hormonal pattern incompatible with age and history
Hormonal evaluation not possible due to:
EDUCATIONAL NOTES AND RECOMMENDATIONS:
BENIGN SMEAR WITH SEVERE INFLAMMATION AND REPARATIVE CHANGES
BACTERIAL VAGINOSIS

LUIS P. CRUZ, M.D., FPSP, FPSO

BoxTech Phils Inc., Pathologist PRC 64206 PTR 9627714 (Las Pinas 1/07/10)