Goodman, AnnekathrynWilbur, David2019-07-082003-10-16Goodman, Annekathryn, and David Wilbur. 2003. "Case 32-2003: A 37-Year-Old Woman with Atypical Squamous Cells on a Papanicolaou Smear." The New England Journal of Medicine 349, no. 16 (October 16): 1555-1564.0028-47931533-4406http://nrs.harvard.edu/urn-3:HUL.InstRepos:40839010Presentation of Case: A 37-year-old woman was referred to the colposcopy clinic because of two Papanicolaou smears showing atypical squamous cells of undetermined significance (ASC-US). One and two years previously, the patient had had Papanicolaou smears that were reported to be normal. Six months before referral, a routine pelvic examination revealed no abnormalities. A Papanicolaou smear at that time was interpreted as revealing ASC-US. The patient was reexamined three months later, and another Papanicolaou smear was again interpreted as showing ASC-US. The patient (gravida 5, para 4) had had one spontaneous first-trimester abortion.en-USCase Records of the Massachusetts General HospitalJournal Article2019-07-0810.1056/nejmcpc030026