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ascus is an acronym that stands for atypical squamous cells of undetermined significance squamous cells are the cells that are on the surface of the cervix when you get a pap done um itamp;#39;s mainly looking at those squamous cells to determine whether theyamp;#39;re abnormal looking whether theyamp;#39;re just plastic looking so thatamp;#39;s the whole purpose or the main purpose of really doing a pap so in the case of vascus the cells are atypical so theyamp;#39;re a little bit unusual but not unusual to the point that they are clearly dysplastic if they were clearly dysplastic your pap would come back with an l sill or an h sill and also is low grade squamous intraepithelial lesion that normally corresponds to mild dysplasia and an h-cell is a high-grade squamous intra-epithelial lesion sometimes called a high-grade lesion most of the time thatamp;#39;s going to correspond to moderate or severe dysplasia in the case of ascus though theyamp;#39;re looking a little bit off bu