ARIAS-STELLA REACTION ASSOCIATED WITH CERVICAL PREGNANCY - REPORT OF A CASE WITH A CYTOLOGIC PRESENTATION

We report the case of an Arias-Stella reaction of the cervix presentin g in the cervical smear from a 35-year-old woman who complained of hea vy menstrual periods. The smear was originally reported as inconclusiv e. Colposcopy revealed an abnormal transformation zone extending out o f range. cervical conization was performed. Histologic examination rev ealed an ectopic cervical pregnancy associated with a cervical Arias-S tella reaction. The cytologic manifestations of the Arias-Stella react ion continue to cause diagnostic confusion with benign lesions and ade nocarcinoma. We believe this to be the first reported case of a cervic al Arias-Stella reaction associated with a cervical pregnancy; it shou ld alert cytologists to the diagnostic implications.