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J Clin Pathol 56:677-680 doi:10.1136/jcp.56.9.677
  • Original article

Visualising scanning patterns of pathologists in the grading of cervical intraepithelial neoplasia

Table 1

Interpretation and diagnostic decision making for lesions 1 and 2

Pathologist Time until diagnosis (sec) Abnormal maturation* Nuclear atypia* Mitotic activity* Basement membrane Order of criteria Diagnosis
Order of criteria: A, proliferation→nuclear atypia→mitotic activity→basement membrane; B, proliferation→mitotic activity→nuclear atypia→basement membrane; C, nuclear atypia→proliferation→mitotic activity→basement membrane; D, nuclear atypia→mitotic activity→proliferation→basement membrane.
*Up to X/3 of the epithelium involved; †diagnosis in discordance with Armed Forces Institute of Pathology criteria.
CIN, cervical intraepithelial neoplasia.
Lesion 1 1 16 Up to 2/3 Up to 2/3 Up to 2/3 Intact B CIN 2
2† 45 Up to 2/3 Up to 2/3 Up to 2/3 Intact B CIN 3
3 20 Up to 3/3 Up to 2/3 Up to 2/3 Intact A CIN 3
4 7 Up to 3/3 Up to 3/3 Up to 2/3 Intact D CIN 3
5† 28 Up to 3/3 Up to 2/3 Up to 2/3 Intact A CIN 2
Lesion 2 1 18 Up to 2/3 Up to 3/3 Up to 1/3 Intact C CIN 3
2 45 Up to 1/3 Up to 1/3 Up to 1/3 Intact C CIN 1
3 32 Up to 2/3 Up to 2/3 Up to 1/3 Intact A CIN 2
4 26 Up to 3/3 Up to 3/3 Up to 1/3 Intact C CIN 3
5† 31 Up to 1/3 Up to 3/3 Up to 1/3 Intact A CIN 1

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