婦人科の細胞診画像集。細胞診一次試験＆二次試験に使えるものを集めました

細胞診試験では実際の細胞をみて判定をする必要がある。
そのためには実際の細胞を見て慣れないといけない。
試験に使える画像を多く集めているから試験対策に使おう！
一つの記事に全部を集めると重くなるから部位ごとに分けて紹介するよ。

他の分野の細胞像

子宮頸部・膣

放射性変化

出典：平成27年度愛知県臨床検査精度管理調査
https://www.aichi-amt.or.jp/aamt/wp-content/uploads/2015/07/H27_9_saibou.pdf

修復細胞

Repair cell. Uterine cervix, brush cytology. #Pathology #Cytopath #Gynpath pic.twitter.com/nnSIhINvve
— Pathology Walker@Auto Tweet Bot (@Patholwalker) January 24, 2020

出典：https://screening.iarc.fr/pic/00019389.jpg

エクソダス

#pathology #pathologist liquid based cervical cytology, exodus, PAP stain @pembeoltulu @levcan @sultan_clskn_dr @ilkay1001 @sirinozr @duyguspath pic.twitter.com/CBc12npon6
— Hatice Olger Uzuner,MD (@OlgerHatice) April 28, 2018

Wonderful pattern, Pap smear,pap stain.🔬🔬🦠🦠 #cytology #papstain #cytopatho #cytopath #cytotechnologist #cytologists pic.twitter.com/EncdQjFQcH
— tt_cytotechnologist (@TCytologist) May 30, 2020

カンジダ

What microorganism is it? 🔬👀 #cytology #pathology #PathTwitter pic.twitter.com/zap4jQEYYG
— Fernanda (@pathgurl21) October 11, 2020

Probably the best Candida in a Pap smear that I have seen. #micro #pathology #cytology pic.twitter.com/hc5Z3BL3Zn
— Misha Movahed-Ezazi, MD (@MishiePishi) December 9, 2020

Candida🔬🔬 #papsmear #Pathology #cytology @ozkanaydin1986 pic.twitter.com/vIMls5lhw3
— Özkan Aydın, MD (@ozkanaydin1986) May 19, 2018

Young 🙎‍♀️Pap smear
(NILM) but w 2 interesting findings
🌀Fungal organisms morphologically consistent with Candida species
🌀Parakeratosis#pathology #cytology #cytopath pic.twitter.com/fO0GlqvHas
— Salwa Bakhsh (@sbakhsh2) January 17, 2020

トリコモナス

Trichomonas Vaginalis:
🔘Parasitic protozoan
🔘Red cytoplasmic granules
🔘15 to 30 μm pear-shaped
🔘Nucleus is pale and eccentric
🔘Flagella can be seen
🔘 3-D neutrophilic aggregates (polyballs)
🔘Squamous cells with perinuclear halos
🔘Ass. with Leptothrix@SaeedAsiry #Pap pic.twitter.com/mHoaRHAJ4n
— MyCytopathology (@MyCytopathology) December 19, 2019

ヘルペスウイルス感染細胞

Let's do some #backtobasics in cytology today! Who can expand the 3 M's in this picture, and what organism is it associated with?
Answer in comment! #PathMatch21 #pathtwitter pic.twitter.com/1HdT7wUzx7
— ECU_Pathology (@ECU_Pathology) September 30, 2020

クラミジア

A beautiful clamydia pic! #Cytology #gynpath #Tweetpath #Cytopath pic.twitter.com/2P4niCJhPi
— Ruth Estrada (@amigaRUTH) March 28, 2022

放線菌

Cervical pap smear, patient with an IUD in place:

As opposed to the last case I posted, this is true Actinomyces, a filamentous bacteria. Viewing the edges is helpful to identify the filamentous nature#CytoPath #PathTwitter pic.twitter.com/pHBoM8vvSI
— Vanda Torous MD (@VandaTorousMD) July 19, 2022

濾胞性頸管炎

Follicular cervicitis. #Pathology #Pathologist #CytoPath #GynPath pic.twitter.com/3YdwBC2Gli
— Pathology Walker@Auto Tweet Bot (@Patholwalker) April 10, 2022

軽度異形成（LSIL）

Low-grade squamous intraepithelial lesion (LSIL). Uterine cervix, brush. Papanicolaou stain. pic.twitter.com/MYK9FScCau
— Pathology Walker@Auto Tweet Bot (@Patholwalker) May 3, 2022

It's not hip, but I really love the simple Pap test. Best screening test in history. #LSIL #cytology #pathology pic.twitter.com/dalp7cfuRJ
— Maren Y. Fuller, MD (@marenwhymd) December 3, 2015

#LSIL #HPV #LIEBG #pathology #Pap smear #pathology #cytopathology #pathart @lepe pic.twitter.com/ooJeyqW4nP
— Luis Humberto Cruz C (@luishcruzc) May 19, 2016

when you get a Pap smear full of koilocytes and you don't know which one to take a photo of. #cytology #Mexico #LSIL #LBP pic.twitter.com/SDZsSzMQCj
— Irmajaimeth (@Irmajaimeth1) July 5, 2020

高度異形成（HSIL）

#HSIL #cytopath (1/2) pic.twitter.com/DtglNU1Yt3
— Vanessa (@vane_muros) March 8, 2021

35 años, PCR + VPH, genotipo 16. #HSIL del domingo. pic.twitter.com/VwuNBMCVXV
— LetyCaifan: 🐶🧚♥️🔬 (@CaifanaL) May 22, 2022

PAP SMEAR (SurePath™)

For more information visit:https://t.co/AKR4dsKhqh pic.twitter.com/oS8knPPyp3
— SSCH Cytology Club (@CytologyClub) May 15, 2023

扁平上皮癌

Squamous cell carcinoma, keratinizing type. Uterine cervix, brush cytology. #pathology #Cytopath #HPVvaccine #HPVワクチン pic.twitter.com/sM8WkOCwQQ
— Pathology Walker@Auto Tweet Bot (@Patholwalker) December 9, 2019

41 y/o women.
Conventional PAP smears.
Squamous cell Carcinoma with querstinization.
Diatesis
Tadpoke Cells.
Isolated cell with nuclear irregular chromatin with clearing.
Macronucleolous. pic.twitter.com/2S7dIMO0uv
— Patricia Szwebel (@PSzwebel) July 1, 2022

上皮内腺癌（AIS）

Convencional PAP smears.
Adenocarcinoma in situ
Crowded groups of Endocervical cells, with pseudoestratificación.
Elongated nucleous
Clumpping chromatin
Mitosis
Rosette arquitecture
Feathering pic.twitter.com/F4P01ltlQt
— Patricia Szwebel (@PSzwebel) January 27, 2022

出典：http://tokyoct.com/B_shourei/50/case1_kaisetsu_50th.pdf

悪性黒色腫

出典：https://icytology.wordpress.com/interesting-cases-2/case-n44-epithelioid-melanoma/

子宮体部

類内膜癌G1

Endometrioid carcinoma. Endometrium, brush cytology. Papanicolaou stain. #Cytopath #pathology #Gynpath pic.twitter.com/jPldYSXEYL
— Pathology Walker@Auto Tweet Bot (@Patholwalker) November 21, 2021

漿液性癌

SPECTACULAR cytomorphology of a "Psammomatous Pelvic Washing" in a patient with history of "High-grade Endometrial Serous Carcinoma". pic.twitter.com/lY4kkEX45S
— Syed Z. Ali (@sza_jhcyto) September 17, 2021

内膜間質肉腫（高悪性度）

出典：日本臨床細胞学会東海連合会HP 例会提示症例
http://www.ns.jscc-tokai.jp/case/%E5%AD%90%E5%AE%AE%E5%86%85%E8%86%9C%E9%96%93%E8%B3%AA%E8%82%89%E8%85%AB%E3%81%AE%EF%BC%91%E4%BE%8B/

卵巣

未分化胚細胞腫

出典：http://pathologyapps.com/histology.php?id=600&type=cytology

明細胞癌

Clear cell carcinoma of the ovary. Intraoperative peritoneal lavage cytology. #pathology #cytology #Gynpath pic.twitter.com/4HtuRaE3Gn
— Pathology Walker@Auto Tweet Bot (@Patholwalker) November 14, 2021

I promised @Venkateshgilly2 sending images of clear cell carcinoma (usually ovary). Usually seen in effusions you can also aspirated. Characteristic basemente membrane material, bbetter seen on cytology than on histology. "Raspberry bodies" #cytology #ovary pic.twitter.com/QgR3cFbcMI
— Pepe Jiménez Heffernan (@pepeheffernan) November 20, 2020