Cervix, stratified‐type adenocarcinoma in situ

Details
Disease Category
Gender
Age
42 Years
Organ System/Discipline
Diagnosis
Adenocarcinoma in situ, stratified type
Clinical History

Abnormal Pap smear; biopsy taken at colposcopy.

Case Discussion

Adenocarcinoma in situ (AIS) is a lesion of the cervical glands that carries significant risk of invasive adenocarcinoma.This case is a variant of AIS, the stratified‐type (also referred to as a stratified mucin‐production intraepithelial lesion or SMILE) consists of stratified epithelium with cells containing mucin. It can be difficult to distinguish from reactive squamous metaplasia, and the diagnosis is made based on the degree of cytologic atypia throughout the neoplastic cells.

Image Contributors
Chang, M.

Cite

Chang, M. Cervix, stratified‐type adenocarcinoma in situ. Digital Laboratory Medicine Library, Dept of Laboratory Medicine & Pathobiology, University of Toronto. Published . Accessed December 17, 2025. https://dev.dlml.cflabs.ca/image/cervix-stratified%25E2%2580%2590type-adenocarcinoma-situ-lmp84629