I agree with most of you that this is a relatively normal cervical squamous mucosa, not CIN1.
There are two morphologic changes which may confuse some of you: one is perinuclear halo and another is surface parakeratosis.
As I mentioned in my talk, halo per se is not equivalent to "koilocytosis". The key is nuclear atypia in CIN lesion, not isolated halos. In this case, the squame maintains its nice maturation, cells are ranged in order and lack of nuclear atypia. Therefore, it is not enough for me to call CIN1.
The parakeratosis on the surface is so much like we see in prolapse case. Please check if this patient has cervical prolaps (zi gong tuo cui).
I agree with most of you that this is a relatively normal cervical squamous mucosa, not CIN1.
There are two morphologic changes which may confuse some of you: one is perinuclear halo and another is surface parakeratosis.
As I mentioned in my talk, halo per se is not equivalent to "koilocytosis". The key is nuclear atypia in CIN lesion, not isolated halos. In this case, the squame maintains its nice maturation, cells are ranged in order and lack of nuclear atypia. Therefore, it is not enough for me to call CIN1.
The parakeratosis on the surface is so much like we see in prolapse case. Please check if this patient has cervical prolaps (zi gong tuo cui).