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Case 04

View the following images and select the correct diagnosis from the list of differentials given below.

Gyne Case 04-- A subtle hint

         From the Cytopathology files of the BC Cancer Agency
         Submitted by: Brenda Smith, BSc and Tom Thomson, MD

Vaginal Vault smear from an 85 year old woman, total hysterectomy 7 years ago for malignancy.

Image 1

Image 2

Image 3

Image 4

Select the correct diagnosis:

Click here to select A A) Non-keratinizing squamous cell carcinoma

Click here to select B B) Atypical squamous cells, recommend stilbestrol

Click here to select C C) Endocervical adenocarcinoma

Click here to select D D) Endometrial adenocarcinoma