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NILM.
I don't see evidence of atrophy. Matured superficial squamous cells are seen and i don't see basal/parabasal cells. Not all older women have atrophy. Some obese women derive estrogen from subcutaneous fat, and their pap smears look quite young. Don't know about China, in US, although hormonal replacement therapy is not recommended for older women because of increased risk for endometrial abnormaligy, some ladies just would do anything to stay young, they still take estrogen or its equavelent, their pap smears look like 20 years old.