@mycytopathology MyCytopathology

Cytopathology Board Review ® Twitter: @MyCytopathology www.mycytopathology.com 📍🇺🇸

@mycytopathology photos and videos

Jan 2020

⁣ Answer:⁣ D. Endometrial cells⁣ ⁣ Discussion:⁣ The nuclei of the cells depicted in the pictures are small and similar in size to an intermediate squamous cell nucleus.Nucleoli are inconspicuous. Cytoplasm is scant, and cell borders are indistinct. These features are characteristic of endometrial cells (Answer D ). Histiocytes have a round to reniform nucleus and a moderate amount of finely vacuolated cytoplasm (Answer C ).“Small blue cells” or naked nuclei form grape-like cluster with finely textured chromatin and conspicuous molding, their incidence increases with age, however they are differentiated from endometrial cells by their complete lack of cytoplasm (Answer B ). In contrast to exfoliated endometrial cell clusters, lymphoid aggregates are looser and more irregularly shaped, and small mature lymphocytes have coarser chromatin than endometrial cells (Answer A ).⁣ ⁣ https://www.mycytopathology.com/answer-question-36.html⁣ ⁣ #cytopath #cytopathology #cytology #mycytopathology #gynecology #cells #pathologyboards #cytopathologyboards #cytologie #citologia #anapath #patologia #anapath #citologiaonco #medicine #cancer #science

902
Jan 2020

Please click on "link in profile", and look for the post that interests you to be directed to the website. There you can check answers of posted questions, and more content regarding discussed topics. #cytopath #cytopathology #cytology #mycytopathology #gynecology #HPV #medicine #gyn #anapath #pathologie #citologiaoncotica #pap #papsmear #cells #pathologyboards #cytopathologyboards #cytologie #citologia #anapath #surgpath #surgicalpathology #cancer #bladdercancer #medicine #science

350
Jan 2020

What is the best interpretation of the finding depicted in the pictures in a 55 year old woman?⁣ ⁣ A. Follicular cervicitis⁣ B. Small blue cells ("Naked nuclei" )⁣ C. Histiocytes⁣ ​D. Endometrial cells⁣ ⁣⁣ Check them out by clicking on the link in profile.⁣⁣ ⁣⁣ https://www.mycytopathology.com/question-36.html⁣ ⁣⁣ #cytopath #cytopathology #cytology #mycytopathology #gynecology #HPV #medicine #gyn #anapath #pathologie #citologiaoncotica #citologiaoncotica #pap #papsmear #science #medicine #cells #pathologyboards #cytopathologyboards #pathart #citologia #cytologie

844
Jan 2020

A nice series of high quality gyn questions are available on www.mycytopathology.com. ⁣ ⁣ Check them out by clicking on the link in profile.⁣ ⁣ https://www.mycytopathology.com/question-bank.html⁣ ⁣ #cytopath #cytopathology #cytology #mycytopathology #gynecology #HPV #medicine #gyn #anapath #pathologie #citologiaoncotica #citologiaoncotica #pap #papsmear

400
Jan 2020

What is the best interpretation of the finding depicted in the pictures in a 55 year old woman?⁣ ⁣ A. Follicular cervicitis⁣ B. Small blue cells ("Naked nuclei" )⁣ C. Histiocytes⁣ ​D. Endometrial cells⁣ ⁣⁣ To look at more benign structures in cytology specimen, click on link in profile.⁣⁣ ⁣⁣ https://www.mycytopathology.com/question-17.html⁣ ⁣⁣ #cytopath #cytopathology #mycytopathology #pathology #patologia #anapath #citologiaonco #cells #pathologyboards #cytopathologyboards #cytologie #citologia #science #medicin #gyn #gynpath #gynpap #papsmear #gynecology #HPV #medicine #science #cells ⁣⁣ ⁣⁣ ⁣⁣ ⁣⁣

794
Jan 2020

Umbrella cells as seen in urine cytology ⁣ ⁣ To look at more benign structures in cytology specimen, click on link in profile.⁣ ⁣ https://www.mycytopathology.com/umbrella-cells-681511.html⁣ ⁣ #cytopath #parissystem #urinecytology #urine #cytopathology #mycytopathology #parissystem #pathology #patologia #anapath #citologiaonco #cells #pathologyboards #cytopathologyboards #cytologie #citologia #science #medicine #kidney #renal #gupath #gyn #gynpath #gynpap #papsmear ⁣ ⁣ ⁣ ⁣

1161
Jan 2020

⁣⁣ ⁣Benign seminal vesicle tissue on cytology ⁣ ⁣⁣ ⁣⁣ Clinical scenario:⁣ 55 year old man with peri-rectal mass⁣ ⁣ Interpretation:⁣ Atypical cells present of possible seminal vesicle origin⁣ ⁣ Description:⁣ Pleomorphic epithelial cells with eccentric hyperchromatic nuclei and cytoplasmic vacuoles of varying sizes, arranged in small clusters and singly. The cytoplasm of most of the cells demonstrates a dark brown pigment. Although we favor these cells to represent seminal vesicle epithelial cells "with Lipofuscin" , due to the marked atypia displayed by these cells, we cannot rule out the possibility of a neoplastic process such as carcinoma. However, in the setting of a peri-rectal mass, this material may not be representative of the lesion in question. Radiological correlation is suggested.⁣ ⁣⁣ ⁣⁣⁣ For more pictures regarding this topic, click on the link in the profile, then look for this post to be redirected to the website.⁣⁣⁣ ⁣⁣⁣ https://www.mycytopathology.com/seminal-vesicles-779855.html⁣ ⁣ #cytopath #cytopathology #cytology #mycytopathology #cytopath #science #medicine #cells #pathologyboards #cytopathologyboards #cytologie #citologia #anapath #patologia #anapath #citologiaoncotica #mycytopathology #cancer #bladdercancer #surgpath #surgicalpathology #pathology

1290
Jan 2020

⁣ ⁣ ⁣ ⁣ Benign adrenal tissue on cytology⁣ ⁣ ​Discussion:​⁣ Numerous isolated single cells with finely vacuolated bubbly cytoplasm, in a background of stripped bland-looking nuclei and frothy cytoplasmic remnants. Tissue fragments with intervening blood vessels are also noted. The cells demonstrate some changes in nuclear size, but otherwise no atypia is noted.⁣ ⁣ Note: As the cytomorphologic appearance of normal benign/ hyperplastic adrenal tissue is very similar to that of benign cortical adenoma, it is very difficult to determine the exact nature of this lesion in question on cytopathological examination only.⁣ For more pictures regarding this topic, click on the link in the profile, then look for this post to be redirected to the website.⁣⁣ ⁣⁣ https://www.mycytopathology.com/benign-adrenal-gland-tissue-924446.html⁣ ⁣ #cytopath #cytopathology #cytology #mycytopathology #cytopath #science #medicine #cells #pathologyboards #cytopathologyboards #cytologie #citologia #anapath #patologia #anapath #citologiaoncotica #mycytopathology #cancer #bladdercancer #surgpath #surgicalpathology #pathology

970
Jan 2020

Want to learn how normal structures in the genitourinary tract look like on cytology? A collection of high quality pictures is now available at https://www.mycytopathology.com/benign-structures-on-cytology.html⁣. ⁣ Click on the link in the profile, then look for this post to be redirected to the website.⁣ ⁣ #cytopath #cytopathology #cytology #mycytopathology #cytopath #science #medicine #cells #pathologyboards #cytopathologyboards #cytologie #citologia #anapath #patologia #anapath #citologiaoncotica #mycytopathology #cancer #bladdercancer #surgpath #surgicalpathology #pathology

781
Jan 2020

⁣⁣How do glomeruli look like on cytology? These are rare pictures illustrating glomeruli, sampled during FNA of a renal mass.⁣ ⁣ ⁣ ​Description:⁣ The images show densely cellular spherical structures with scalloped edges consistent with glomeruli. The cells in a glomerulus are not evenly distributed, but instead are much more dense in the center than at the periphery; Examination of the edges of a glomerulus reveals its distinctive capillary loops. Glomeruli may mimic the papillae of papillary RCC, especially at low magnification, however glomeruli lack atypia.⁣ ⁣⁣ ⁣⁣ https://www.mycytopathology.com/glomeruli-240411.html⁣ ⁣⁣ ⁣ #cytopath #parissystem #urinecytology #urine #cytopathology #mycytopathology #cytology #cytologie #citologia #anapath #surgpath #surgicalpathology #cancer #science #cells #pathart #bladdercancer #science #medicine #kidney #renal #gupath

781
Jan 2020

⁣⁣Category: Urine Cytology⁣ ⁣ ⁣ Clinical Scenario:⁣ 82 year old woman presenting with left flank pain⁣ ⁣ ⁣ Interpretation:⁣ Positive for carcinoma⁣ ⁣ ⁣ Description:⁣ The slides show an unusual population of large cohesive clusters of malignant epithelial cells, some arranged in a pseudo-papillary configuration. The cells demonstrate enlarged irregular nuclei with focally prominent nucleoli and abundant vacuolated and or clear cytoplasm. These features are consistent with a carcinoma with clear cell features, and raise the possibility of a clear cell renal cell carcinoma in the appropriate settings. However, a primary bladder carcinoma cannot be completely ruled out. Suggest correlation with radiological studies and tissue biopsy.⁣ ⁣⁣⁣⁣ ⁣ Check more pictures regarding this case, by clicking on the link in the bio and looking for this post.⁣⁣⁣⁣ ⁣⁣⁣⁣ ⁣⁣⁣⁣ ⁣https://www.mycytopathology.com/clear-cell-renal-cell-carcinoma-in-the-urine.html⁣ ⁣⁣⁣⁣ ⁣ ⁣⁣⁣ #cytopath #parissystem #urinecytology #urine #cytopathology #mycytopathology #cytology #cytologie #citologia #anapath #surgpath #surgicalpathology #cancer #science #cells #pathart #bladdercancer #science #medicine #kidney #renal #gupath

791
Jan 2020

Category: Urine Cytology ⁣⁣Clinical Scenario:⁣ 62 year old HIV-positive man presenting with a left abdominal pain⁣ ⁣ Interpretation:⁣ Malignant cells present⁣ ⁣ Discussion:⁣ Specimen of high cellularity with abundant manly singly dispersed large plasmacytic and/or immunoblastic cells, with increased nuclear to cytoplasmic ratio, round to irregular nuclei and prominent nucleoli. Some of the cells have a moderate amount of cytoplasm, in a background of acute inflammation. These features are consistent with a malignant neoplasm. The differential diagnosis includes, but is not limited to, a lymphoproliferative disease and high grade urothelial carcinoma.⁣ We recommend clinico-radiological correlation, including results of flow cytometry analysis.⁣ ⁣⁣ Core needle biopsy and Ffow cytometry results: Primary Effusion Lymphoma. ⁣⁣⁣ Check more pictures regarding this case, by clicking on the link in the bio and looking for this post.⁣⁣⁣ ⁣⁣⁣ ⁣⁣⁣ ⁣https://www.mycytopathology.com/primary-effusion-lymphoma-extra-cavitary-type.html⁣ ⁣⁣⁣ ⁣⁣ #cytopath #parissystem #urinecytology #urine #cytopathology #mycytopathology #cytology #cytologie #citologia #anapath #surgpath #surgicalpathology #cancer #science #cells #pathart #bladdercancer #science #medicine #kidney #renal #gupath #hemepath #hematology #hematopathology #cytopathologyboards #pathologyboards

1074
Jan 2020

Category: Urine Cytology ⁣Clinical Scenario:⁣ 77 year old woman presenting with hematuria⁣ ⁣ Interpretation:⁣ Malignant cells present⁣ ⁣ Discussion:⁣ Highly cellular specimen remarkable for small to medium-sized malignant cells, arranged singly and in tightly cohesive clusters. The tumor cells are round to oval with irregular nuclear contours. The nuclei are hyperchromatic with stippled evenly-distributed, focally smudgy chromatin, and inconspicuous nucleoli. The cells also demonstrate very high nuclear to cytoplasmic ratio and nuclear molding. The background is hemorrhagic with necrotic debris. IHC stains performed on the cell block prepared from this sample are positive for neuroendocrine markers (Synaptophysin and Chromogranin ). These features are diagnostic of a small cell carcinoma. ⁣ ⁣ ⁣⁣ Check more pictures regarding this case, by clicking on the link in the bio and looking for this post.⁣⁣ ⁣⁣ ⁣⁣ ⁣https://www.mycytopathology.com/small-cell-carcinoma-of-the-bladder.html⁣ ⁣⁣ ⁣ #cytopath #parissystem #urinecytology #urine #cytopathology #mycytopathology #cytology #cytologie #citologia #anapath #surgpath #surgicalpathology #cancer #science #cells #pathart #bladdercancer #science #medicine #kidney #renal #gupath #cytopathologyboards #pathologyboards #pathologie #anapath #citologiaoncotica

761
Jan 2020

Ever wondered how renal tubular cells look like on cytology? Here's a glimpse at it! These cells are characteristically cuboidal in shape with granular mitochondria-rich cytoplasm.⁣ ⁣ Check how other benign genitourinary structures look like on cytology, by clicking on the link in the bio and looking for this post.⁣ ⁣ https://www.mycytopathology.com/renal-tubular-cells1.html⁣ ⁣ ⁣ #cytopath #parissystem #urinecytology #urine #cytopathology #mycytopathology #cytology #cytologie #citologia #anapath #surgpath #surgicalpathology #cancer #science #cells #pathart #bladdercancer #science #medicine #kidney #renal #gupath #cytopathologyboards #pathologyboards #pathologie #microscope #rein

540
Jan 2020

​The provided photomicographs are representative of the pap test of a 34 year old pregnant woman. What is the best decision in the management of this patient?⁣ ⁣ A. LEEP⁣ B. Postpone procedures post-partum⁣ C. Repeat Pap testing in one year⁣ D. Colposcopy is recommended ⁣ E. Repeat Pap testing in six months⁣ ⁣ To check the answer, click on the link in the bio, then click on this post.⁣ ⁣ https://www.mycytopathology.com/answer-question-3.html⁣ #cytopath #cytopathology #mycytopathology #cytology #gynpap #papsmear #gyn #gynpath #surgpath #surgicalpathology #pathology #pathart #medicine #cancer #science #cells #pathologyboards #cytopathologyboards #cytologie #citologia #anapath #patologia #pathologie #anapath #citologiaoncotica

482
Jan 2020

​What is the appropriate management of a 33 year old woman with the findings in the pictures on Pap test, who has had a negative reflex HPV result?⁣ ⁣ A. Repeat Cytology and HPV tests⁣ B. Colposcopy⁣ C. Repeat Cytology in 12 months⁣ D. Co-testing at 3 years⁣ ⁣ To check the answer, click on the link in the bio,then click on this post⁣. ⁣ https://www.mycytopathology.com/answer-question-221.html⁣ #cytopath #cytopathology #cytology #mycytopathology #gynpap #papsmear #cytology #mycytopathology #cytopath #science #medicine #anapath #patologia #pathologie #cells #citologiaoncotica #papsmears #HPV #gyn #gynpath

724
Jan 2020

Benign prostatic tisue v/s prostatic adenocarcinoma ⁣ ⁣ ⁣ Description:⁣ Evenly distributed cells with abundant cytoplasm, round regular nuclei with fine chromatin and inconspicuous nucleoli. For comparison, check the second picture representative of prostatic adenocarcinoma: The cells are crowded, with high nuclear to cytoplasmic ratio and prominent nucleoli.⁣ ⁣ https://www.mycytopathology.com/benign-prostate-tissue-255685.html⁣ #cytopath #cytopathology #cytology #mycytopathology #parissystem #urine #urinecytology #parissystem #pathology #patologia #anapath #surgpath #citologiaoncotica #cells #pathologyboards #cytopathologyboards #cytologie #science #medicine #anapath #surgpath #surgicalpathology #cancer

620
Jan 2020

⁣⁣Scenario:82 year old middle-eastern man presenting with persisting hematuria⁣ ⁣ Interpretation:POSITIVE FOR CARCINOMA⁣ ⁣ Discussion:Cytoprep specimen with numerous mainly single malignant keratinized squamous cells and occasionally arranged in sheets, in a background of reactive urothelial cells, inflammatory cells and tumor diathesis. The cells demonstrate bizarre morphology with cytoplasmic extensions ("Tadpole" cells ), spindle cells and giant multinucelated cells. The cytoplasm shows hard orangophilic keratin and the nuclei are enlarged with severe smudgy hyperchromasia. These features are suggestive of carcinoma with squamous differentiation. The malignant cells exclusively display squamous morphology and no obvious urothelial differentiation is noted. In the presence of a bladder mass on imaging, the diagnosis of primary squamous cell carcinoma of the bladder should be strongly considered. However, histopathological examination of the whole tumor should be performed before rendering a definitive diagnosis, as the possibility of a high grade urothelial carcinoma with squamous differentiation is also on the differential diagnosis.⁣ ⁣⁣⁣ ⁣⁣⁣ For more pictures, please visit https://www.mycytopathology.com/primary-squamous-cell-carcinoma-of-the-urinary-bladder.html by clicking on the link provided in the bio #cytopath #cytopathology #cytology #mycytopathology #parissystem #urine #urinecytology #medicine #pathology #surgpath #bladdercancer #pathologyboards #cytopathologyboards #pathart #citologia #cytologie #anapath #patologia #pathologie #anapath #cells #citologiaoncotica #cells #pathologyboards #cytopathologyboards #science #medicine #pathologist

843
Jan 2020

⁣Clinical Scenario: 80 year old woman presenting with gross hematuria.⁣ ⁣ Interpretation: Positive for Carcinoma, favor glandular differentiation.⁣ ​⁣ Discussion:Cellular preparation with many three dimensional crowded clusters of malignant epithelial cells, featuring eccentric large nuclei , prominent nucleoli, wispy cytoplasm, in a background of chronic inflammatory cells. The cells are focally arranged in an acinar configuration. Few of the cells have cytoplasmic vacuoles. The above mentioned features are consistent with carcinoma, exhibiting glandular differentiation. The differential diagnosis includes high grade urothelial carcinoma with glandular differentiation versus a primary adenocarcinoma of the bladder. However, a metastatic lesion cannot be completely ruled out. Clinical-radiological correlation and tissue sample for histopathological examination are recommended in these settings.⁣ ⁣ Surgical Excision:​Primary Adenocarcinoma of the bladder⁣ ⁣⁣ ⁣⁣ For more pictures, please visit https://www.mycytopathology.com/primary-adenocarcinoma-of-the-bladder.html #cytopath #parissystem #urinecytology #medicine #surgpath #surgicalpathology #cancer #bladdercancer #pathologyboards #cytopathologyboards #cytologie #citologia #anapath #patologia #anapath #citologiaoncotica #mycytopathology #cytology #urinecytology #urine #parissystem #cells #pathart #bladdercancer #science #patologia #pathologie

381
Jan 2020

Clinical History: 58 year old man with gross hematuria⁣ ⁣ ⁣ Interpretation: NEOPLASTIC CELLS PRESENT⁣ ⁣ ⁣ Discussion: Cellular preparation showing urothelial cells with long cytoplasmic processes,round to oval nuclei with mild atypia,homogeneous chromatin and small conspicuous nucleoli.These features are described in the literature as cercariform cells,and are suggestive of a urothelial neoplasm. Although there are no papillary structures with fibrovascular cores noted in this specimen, and in the absence of nuclear changes reaching the level of high grade urothelial carcinoma such as deep hyperchromasia, very high nuclear to cytoplasmic ratio, irregular nuclear membranes and clumpy irregular chromatin, the diagnosis of low grade urothelial carcinoma should be considered, especially if a papillary structure is present on cystoscopy.⁣ ⁣ ⁣ For more pictures, please visit https://www.mycytopathology.com/cercariform-low-grade-urothelial-carcinoma.html by clicking on the link in the bio⁣ ⁣ #cytopath #cytopathology #mycytopathology #cytology #parissystem #urinecytology #urine #parissystem #surgpath #surgicalpathology #pathology #pathart #cancer #bladdercancer #science #medicine #cells #pathologyboards #cytopathologyboards #pathart #citologia #cytologie #citopatologia #patologia #pathologie #anapath #citologiaoncotica

280
Jan 2020

Category: Urine Cytology⁣⁣⁣⁣ ⁣⁣⁣⁣ ⁣⁣⁣ Clinical History: 55 year old man presented with hematuria⁣ ⁣ ⁣ Interpretation: NEGATIVE FOR HIGH GRADE UROTHELIAL CARCINOMA⁣. LOW GRADE UROTHELIAL NEOPLASM. ​⁣ ⁣ Discussion​: Smears show three dimensional clusters with fibrovascular cores, consistent with papillae. The cells appear monomorphic for the most part, without nuclear atypia (the nuclear to cytoplasmic ratio is preserved, the nuclear contour is smooth, with normal chromatinic texture ).These features are consistent with a low grade urothelial neoplasia. Correlation with surgical pathology specimen for a more accurate classification is recommended in similar scenarios.⁣ ⁣ ⁣ Surgical Biopsy Correlation:⁣ Low Grade Urothelial Carcinoma⁣ ⁣⁣ ⁣ For more pictures, please head to ⁣https://www.mycytopathology.com/low-grade-urothelial-carcinoma-785894.html or click on the link provided in the profile⁣ #cytopath #mycytopathology #cytopathology #cytology #pathology #surgicalpathology #urine #urinecytology #parissystem#cells #cancer #medicine #bladdercancer #surgpath #surgicalpathology #pathology #pathart#pathologyboards #cytopathologyboards #cytologia #cytologie #patologia #anapath #citologiaoncotica

190
Jan 2020

Category: Urine Cytology⁣⁣⁣ ⁣⁣⁣ ⁣ ⁣⁣Clinical History: 58 year old man presented with hematuria. The above pictures are representative of the urine spin slide.⁣ ⁣ ⁣ Interpretation: NEGATIVE FOR HIGH GRADE UROTHELIAL CARCINOMA⁣ ​⁣ ⁣ Discussion:​ Smears show three dimensional clusters with fibrovascular cores, consistent with papillae. The cells appear monomorphic for the most part, without nuclear atypia (the nuclear to cytoplasmic ratio is preserved, the nuclear contour is smooth, with normal chromatinic texture ). These features are consistent with a low grade urothelial neoplasia. Correlation with surgical pathology specimen for a more accurate classification is recommended in similar scenarios.⁣ ⁣ ⁣ Surgical Biopsy Correlation:⁣ Inverted Papilloma⁣ ⁣ ⁣ For more pictures, please head to ⁣https://www.mycytopathology.com/inverted-papilloma.html⁣ ⁣⁣ #cytopathology #cytology #mycytopathology #urine #urinecytology #parissystem #pathology #patologia #anapath #surgpath #surgicalpathology #pathology #pathart #medicine #cancer #science #cells #pathologyboards #cytopathologyboards #cytologie #citologia #citologia #anapath #surgpath #citologiaoncotica

210
Jan 2020

Category: Urine Cytology⁣⁣ ⁣⁣ ⁣⁣ Scenario: 58 year old man with an extensive history of smoking⁣⁣ ⁣⁣ ⁣⁣ Interpretation:⁣Suspicious for High Grade Urothelial Carcinoma (HGUC )⁣⁣ ​⁣⁣ ⁣ Description:⁣ Scattered single urothelial cells with increased nuclear to cytoplasmic ratio (>0.7 ),severe nuclear hyperchromasia,irregular chromatinic rim, and dark coarse and clumped chromatin. These features are highly suspicious for a HGUC, however the number of diagnostic cells is scant and comes short for an unequivocal diagnosis of malignancy.⁣⁣ ⁣ Note: In the absence of a bladder mass and the presence of mainly single abnormal urothelial cells, the possibility of a carcinoma in situ lesion should be considered.⁣⁣ ⁣⁣ ⁣ Surigcal Biopsy Interpretation:⁣ Carcinoma In-Situ involving the bladder mucosa⁣⁣. ⁣ ⁣ For more pictures, please head to https://www.mycytopathology.com/urothelial-carcinoma-in-situ.html⁣ or click on the link provided in the profile ⁣ ⁣ #cytopath #cytopathology #cytology #mycytopathology #parissystem #urine #urinecytology #medicine #cancer #pathart #pathology #surgicalpathology #surgpath #bladdercancer #pathologyboards #cytopathologyboards #cytologie #citologia #anapath #patologia #pathologie #citologiaoncotica

241
Jan 2020

Category: Urine Cytology⁣ ⁣ ⁣ Interpretation:⁣ Negative for High Grade Urothelial Carcinoma⁣ ⁣ ⁣ Discussion:⁣ Clusters of urothelial cells with cytoplasmic vacuolation and intracytoplasmic inclusions ("Melamed-Wolinska Bodies" ), with minimal to mild nuclear hyperchromasia and nuclear contour irregularity. These changes are not prominent, and the nuclear to cytoplasmic ratio is still preserved. These features are consistent with reactive changes⁣. ⁣ ⁣ For more pictures, please head to https://www.mycytopathology.com/degenerative-changes.html #cytopath #cytopathology #mycytopathology #cytology #urinecytology #urine #parissystem #surgpath #surgicalpathology #pathology #pathart #medicine #cancer #bladdercancer #pathologyboards #cytopathologyboards #cytologie #citologia #anapath #patologia #pathologie #cells #citologiaoncotica

180