HORMONAL CYTOLOGY Flashcards
Hormonal cytology
what is hormonal cytology
Is the study of cells that will give us the hormonal status of female
what are the 2 hormones common in a female
- progestrone
- Eostrogen
in a young female when is progestrone high
through out the pregnancy
what is the relationship between pregestrone and eostrogen
when progestron is high eostrogen is low and vice versa
how is cytology used to determine which hormone is high
by looking at the parten of squamous cells, the appearance of squamous cells tells us which homorne is high
why are the levels of homornes determined by the appearance of squamous cells
because the homornes regulate the maturity of squamous statified cells
which layers of squamous cells are much used in homornal cytology
parabasal, intermediate and superficial
which cells are not supposed to be seen in pap smear and their clinical significance if present
basal cells
when found it shows there is an errosion (something is wrong)
what does A:B:C mean in hormonal cytology/maturation index
A: represents parabasal cells
B: represents intermediate cells
C: represents superficial cells
How do we asses maturation index
By counting the whole numbers of total cells, then the numbers are alligned against the fomart A:B:C but in total should be 100
explain a shift to right
it means the cell dominating are superficial cells, which means eostrogen is high. superficial is increased more than the other cells
explain shift to the middle
it means the cells dominating is intermidiate, it signifies progestrone is high
explain a shift to the left
it signifies that parabasal cells are high. eostrogen and progestrone are high
when does shift to the left occur
during baby delivery the progestrone drops to match with eostrogen as a result there is a shift to the left
normal occurence of shift to the left
during childhood and postmenstrual menopause there will be a shift to the left