Pap Smear · Pathology

What is the significance of finding 'Endocervical Cells' in a Pap smear from a premenopausal woman?

  1. It indicates the overall cervical sample quality is inadequate
  2. It confirms adequate sampling of the Transformation Zone
  3. It is an early sign of endocervical adenocarcinoma
  4. It indicates the patient may currently be pregnant
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Correct answer: It confirms adequate sampling of the Transformation Zone

The presence of endocervical cells or squamous metaplastic cells indicates that the transformation zone—the area at highest risk for neoplasia—was reached during the sampling process. This is a key component of evaluating specimen adequacy.

Difficulty: Medium Question 12 of 20

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