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hi welcome back this is the second presentation for gynecologic cytopathology my name is Natalie Bonet today Ill be covering a typical squamous cells including a typical squamous cells of uncertain significance or the ascus diagnosis and atypical cells of uncertain significance cannot exclude high-grade scream Center epithelial lesion or ask H so once again the source for the lecture material unless otherwise noted is the Bethesda system for reporting cervical cytology which in case you didnt tune in for the first lecture the aim of the bethesda system was to be clinically relevant reasonably reproducible and flexible and reflect the most current understanding of cervical neoplasia and was convened for the first time in 1980 following public outcry over these pap mills which were processing specimens and less than optimal conditions with not reproducible findings and patients were not having good outcomes the photos in the lecture come from mainly three sources one is photos that I