Pap Smear · Pathology

Which of the following describes the cytological features of High-grade Squamous Intraepithelial Lesion (HSIL)?

  1. Abundant cytoplasm with small, regular nuclei
  2. Cells with a high nuclear-to-cytoplasmic ratio and coarse chromatin
  3. Clusters of cells with prominent nucleoli and shared cell borders
  4. Large sheets of cells with thin, transparent cytoplasm
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Correct answer: Cells with a high nuclear-to-cytoplasmic ratio and coarse chromatin

HSIL is characterized by cells that are generally smaller than LSIL cells but possess much higher N/C ratios. The nuclei show significant irregularities, hyperchromasia, and coarse chromatin, reflecting more advanced precancerous changes.

Difficulty: Medium Question 7 of 20

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