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Adenoid basal carcinoma of the cervix: an unusual cytological appearance

We report an example of an adenoid basal carcinoma, diagnosed on histological examination of a cone biopsy, from a 59-year-old woman following an abnormal routine cervical smear. The cervical cytology was reported as severe squamous dyskaryosis with possible glandular abnormality. The large clumps of abnormal, endocervical-like cells with ragged edges that were seen in the smear were not explained by the microscopic examination of the cone biopsy. A review of the literature reveals that squamous abnormalities have been reported in patients with adenoid basal lesions, but no references to large, atypical cell groups were found.