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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does this pap Smear Result Mean?

Hello Doctor, I have just received my pap smear result. It says polymorphous - abun dant. Also, in cell abnormalities, it says shiefly superficial squamous cells seen. Large sheets of metaplasticsquamous cells seen with round to oval enlarged nuclei and cytoplasmic processes. Is this normal?
Fri, 9 Oct 2015
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
The pap test report is showing presence of large number of polymorphs or neutrophils.
Polymorphs or neutrophils are inflammatory cells seen in infection.
The cervical environment is flooded with polymorphs so presence of polymorphs does not indicate disease state.
In addition to polymorphs mature squamous epithelial cells are also seen.
The squamous epithelial cells show metaplastic change.
Metaplastic change in squamous cells is secondary to inflammation on the pap test.
No micro-organism is detected on the pap test.
I suggest you to consult your gynecologist for clinical assessment prescription of anti-microbial treatment (if required) followed by repeat pap test.

Thanks and take care
Dr Shailja Puri
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What Does this pap Smear Result Mean?

Hello and welcome to HCM, The pap test report is showing presence of large number of polymorphs or neutrophils. Polymorphs or neutrophils are inflammatory cells seen in infection. The cervical environment is flooded with polymorphs so presence of polymorphs does not indicate disease state. In addition to polymorphs mature squamous epithelial cells are also seen. The squamous epithelial cells show metaplastic change. Metaplastic change in squamous cells is secondary to inflammation on the pap test. No micro-organism is detected on the pap test. I suggest you to consult your gynecologist for clinical assessment prescription of anti-microbial treatment (if required) followed by repeat pap test. Thanks and take care Dr Shailja Puri