Exfoliative Cytology Flashcards
Fixation time for exfoliative cytology
15mins
Ideal fixation time for exfoliative cytology
60mins
Fixative for exfoliative cytology that gives best result but not commonly used
Equal parts of 95% ethanol and ether
Commonly used fixative for exfoliative cytology
95% ethanol
Fixative for sputum
Saccomano preservative
Nuclear stain in paps
Harris hematoxylin
Stain for paps with strong affinity for mature cells
Og6 stain
Stain for paps with strong affinity for immature cells
Ea50
Ideal for studying the hormonal status, evaluation of inflammatory conditions, classification of the normal flora and rarely detection of malignant vaginal lesions
Proximal third of the vaginal wall
Most common site for cancer screening
Use of ayre’s spatula
Histology: stratified squamous non keratinizing
Ectocervix
Site where most malignancies arise
Transformation zone
For detection of endocervical lesions, intrauterine lesions
Histology: simple columnar epithelium
Endocervix
Material for endocervical canal
Endocervical brush
Material for patients with hysterectomy
Vaginal scrape
Material for hormonal cytology
Lateral vaginal scrape
Material for localization of vaginal adenosis
Four quadrant vaginal scrape
Material for detection of herepetic lesions or carcinoma
Vulvar scrape
Equipment for vaginal aspiration
6-8 inches x 1/4 inches
Glass pipet and rubber bulb
Equipment for swab smear
Ayre’s spatula
Equipment for endocervical or endometrial aspiration
Laryngeal cannula attached to a 10cc syringe
Produced by proliferating granulose theca cells of the ovarian follicles
Acts upon the superficial cells
Estrogen
Produced by corpus luteum formed after ovulation
Acts upon the intermediate cells
Progesterone
Boat shaped intermediate cells with a strong tendency to fold and curl their edges
Navicular cells
More commonly seen in pregnant women
Appearance: double cell wall appearance
Pregnancy cells
Appearance: sunny side up or fried egg
Parabasal cells
Chmi ratio
Parabasals:intermediates:superficials
Shift to right chmi ratio
Seen among menopausal women taking estrogen
0/10/90
Chmi ratio of pregnant women
Progesterone is involved
0/70/30