Pap smears are too difficult, especially for photos in computer. Give you an easy one for fun.

A women aged over 50

How will you sign out the case?

 It is not uncommon to see the normal endometrial cells in women age >45 even the LMP more than 12 days.

We should report the presence of endometrial cells if women 40 y or above. Then we need to mention the EM cells are consistent with LMP, or > 12 days after LMP or do not know the LMP of the patient.

Normal EM cells in women <40, do not need to report  regardless of LMP

Normal EM cells in women 40 or above: Clinical correlation.

Atypical EM cells: should have endometrial and endocervical sampling for all ages. If no endometrial pathology identified, colposcopy should be performed. So atypical EM cells are critical report.

My discussion is no relation to the interpretation of my above case (I do not mean which of your answers is right or wrong). So continue to guess.

Thank 月新 for your good translation

Normal EM cells in women 40 or above: Clinical correlation. 大于40岁以上的人宫颈涂片中出现正常的子宫内膜细胞. In this situation we can write the comment: Clinical correlation is suggested. It means that clinical physicians should consider patient's clinical stituation to decide how to handle the case. Basically I give the ball to the patient's physicians.

i did not say above answers are right or wrong. Just give a resonable interpretation based on your knowledge.

 cqzhao 老师说一例非常容易简单的病例，到现在也没有人答出正确答案，看来并不简单。

感觉细胞有异形，似有乳头，宫颈涂片中出现这样的上皮细胞团，50岁的人，还是应该考虑为恶性腺上皮细胞。病人可以做B超，查子宫，查卵巢，问病史。然后再说。

译上楼cqzhao ：.45岁以上的妇女，在末次月经12天后的宫颈涂片中发现正常的子宫内膜腺上皮细胞并不罕见，但是如果看见了40岁以上女士宫颈涂片中有子宫内膜细胞应该报告出。 然后需要再去了解与患者的末次月经关系，是否月经12天以后，或者根本不知道与患者月经情况， 40岁以下的女士，宫颈涂片中查见正常的子宫内膜细胞根本不用管。大于40岁以上的人宫颈涂片中出现正常的子宫内膜细胞与临床有关。 无论什么年龄段出现了非典型的的子宫内膜腺上皮细胞都应该做活检，.如果刮宫标本正常还应该再做阴道镜，所以非典型的子宫内膜细胞是一定要报出来。 .我的问题了本例的正确答案无关，只是讲一下子宫内膜腺上皮细胞的问题，请大家继续猜。

子宫内膜腺上皮细胞团。

Friend, I am interested to know where you learn above?

You want your AGC women have Pap follow up. Hope you are joking. Ha, ha.