{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T15:32:30Z","timestamp":1770823950106,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2006,7,12]],"date-time":"2006-07-12T00:00:00Z","timestamp":1152662400000},"content-version":"vor","delay-in-days":4302,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostic Cytopathology"],"published-print":{"date-parts":[[1994,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Exfoliative cytologic studies directed toward atypical squamous cells of undetermined significance (ASCUS) and low\u2010grade squamous intraepithelial lesions (LSIL) have been neglected in the rising postmenopausal population. This retrospective study from 60 cases, initially interpreted as ASCUS or LSIL, concentrates on these lesions and their associated diagnostic pitfalls.<\/jats:p><jats:p>Cytologic revaluation of the 60 patients revealed squamouscell abnormalities in 45 (18 ASCUS and 27 LSIL) and cervicitis alone in 15 cases. Follow\u2010up studies of the 18 ASCUS cases showed cervicitis in seven, persistent ASCUS in five, CIN I in five, and VAIN I\u2010II in one. Follow\u2010up of the 27 cases categorized as LSIL, showed ASCUS in two, CIN in 20 and VAIN in one, while four had cervicitis alone. Interestingly, two of these 45 patients had only vaginal dysplasia. By application of uniform diagnostic criteria, 15 of the 60 cases were reviewed as benign. Pitfalls included inflammatory and drying alterations, reactive metaplasia, and sampling problems. Thus, squamous\u2010cell abnormalities in postmenopausal women can be significant when artifactual alterations are eliminated. Diagn Cytopathol 1994; 11:226\u2013230. \u00a9 1994 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/dc.2840110307","type":"journal-article","created":{"date-parts":[[2007,2,22]],"date-time":"2007-02-22T03:42:32Z","timestamp":1172115752000},"page":"226-230","source":"Crossref","is-referenced-by-count":31,"title":["Postmenopausal squamous\u2010cell atypias: A diagnostic challenge"],"prefix":"10.1002","volume":"11","author":[{"given":"Thamarai","family":"Saminathan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chitra","family":"Lahoti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vaidehi","family":"Kannan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tilde S.","family":"Kline","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,7,12]]},"reference":[{"key":"e_1_2_1_2_2","unstructured":"Projections of the population of the United States 1982\u20132050: Current Population Reports Population Estimates and Projections US Department of Commerce Series P25 No. 922. Bureau of the Census 1982."},{"key":"e_1_2_1_3_2","unstructured":"American College of Obstetricians and Gynecologists. Periodic cancer screening for women.ACOG Statement of Policy June1980."},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.281.6250.1264"},{"key":"e_1_2_1_5_2","first-page":"215","article-title":"Report on the cancer related check\u2010up: cancer of the cervix","volume":"30","author":"American Cancer Society","year":"1980","journal-title":"CA"},{"key":"e_1_2_1_6_2","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1001\/jama.1986.03380030069030","article-title":"Gynecological care of elderly woman: another look at Papanicolaou smear testing","volume":"256","author":"Mandelblatt J","year":"1986","journal-title":"JAMA"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004347-199207000-00006"},{"key":"e_1_2_1_8_2","first-page":"9","volume-title":"Essentials of cytology, an atlas","author":"Nguyen G","year":"1993"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19830615)51:12<2214::AID-CNCR2820511211>3.0.CO;2-2"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197601222940412"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7292(91)90229-X"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(89)90439-0"},{"key":"e_1_2_1_13_2","first-page":"1193","article-title":"Assuring accuracy in gynecologic cytology: results of CAP interlaboratory comparison program in cervicovaginal cytology (PAP)","volume":"117","author":"Davey DD","year":"1993","journal-title":"Arch Pathol Lab Med"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/dc.2840090410"},{"key":"e_1_2_1_15_2","first-page":"13","article-title":"The significance of atypical cervical cytology in an older population","volume":"73","author":"Kaminski PF","year":"1989","journal-title":"Obstet Gynecol"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1987.tb02340.x"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajcp\/101.6.708"},{"key":"e_1_2_1_18_2","first-page":"276","volume-title":"Diagnostic cytology and its histopathologic changes","author":"Koss LG","year":"1992"},{"key":"e_1_2_1_19_2","first-page":"131","volume-title":"Exfoliative cytopathology","author":"Naib ZM","year":"1985"},{"key":"e_1_2_1_20_2","first-page":"119","volume-title":"Comprehensive cytopathology","author":"Bibbo M","year":"1991"},{"key":"e_1_2_1_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/dc.2840080307"},{"key":"e_1_2_1_22_2","doi-asserted-by":"publisher","DOI":"10.1002\/dc.2840090226"},{"key":"e_1_2_1_23_2","doi-asserted-by":"publisher","DOI":"10.1002\/dc.2840090402"}],"container-title":["Diagnostic Cytopathology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fdc.2840110307","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/dc.2840110307","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,24]],"date-time":"2023-10-24T19:49:31Z","timestamp":1698176971000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/dc.2840110307"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,10]]},"references-count":22,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1994,10]]}},"alternative-id":["10.1002\/dc.2840110307"],"URL":"https:\/\/doi.org\/10.1002\/dc.2840110307","archive":["Portico"],"relation":{},"ISSN":["8755-1039","1097-0339"],"issn-type":[{"value":"8755-1039","type":"print"},{"value":"1097-0339","type":"electronic"}],"subject":[],"published":{"date-parts":[[1994,10]]}}}