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Teaching

Teaching Cases for 10-Mar-25

Dr Anju Nijhawan - Gynaecological Pathology











Case 1

Female 57 years

Ref: Suspicious cervix cervical screening HR HPV negative 2024 impression: Raised area probably top of a nabothian follicle, however biopsy to exclude atypia.

Previous procedure No.


Case 2

Female 54 years

Referred 2ww with suspicious cervix at the time of routine cervical screening, examination 1 cm ectocervical polyp. Patient did not want it removed, so only biopsied to exclude glandular atypia.

Previous procedure No.


Case 3

Female 39 years

Colp f/u appt today, smear taken biopsies x2. To rule out CIN3, previous CIN1-2.


Case 4

Female 32 years

P0, no hormones, referred with Moderate Dysk. type 1 TZ, small area of CIN2, biopsied. HRHPV yes.


Case 5

Female 38 years

FAST TRACK PLEASE - URGENT 2 WW Direct Cyto - HG / ? invasive LMP - no periods. On POP Last smear in 20's Para 0 Colp - SCJ ecto, dense a/w seen with features, 2 patches on cervix with atypical vessels Imp - HG / ? suspicious.


Case 6

Female 39 years

Direct cyto - BNC SQ cx bx showed CIN 2 at least - LLETZ wanted by patient.


Case 7

Female 37 years

P1, no hormones, referred with Glandular Neoplasia (EC), large type 1 TZ, HG. Latest smear Glandular Neoplasia (EC). Colposcopy imp High grade. HR HPV Yes.


Case 8

Female 44 years

Previous LLETZ - CGIN. Recent smear - glandular neoplasia.


Case 9

Female 53 years

HG MOD DYSK SMEAR DIAGNOSTIC LLETZ TODAY. Latest smear Moderate dyskaryosis. Colposcopy imp Moderate. HR HPV Yes.

NO GLASS SLIDES.





NO VIRTUAL SLIDES FOR THIS CASE

Case 10

Female 41 years

P0, known Peutz-Jeghers Syndrome, presented with excessive mucous discharge. HR HPV - ve; Colposcopy imp Other.


H&E 586692


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