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We report a case of coexisting amyloid and neoplasm in a localized ureteral lesion. This case also represents the third reported instance of sequential bilateral ureteral amyloidosis. Right nephroureterectomy revealed amyloid and an in situ focus of low grade transitional cell carcinoma. Three years later amyloid in the distal left ureter was resected and the gap was bridged by a bladder hitch and Boari flap. Subsequent followup has been uneventful.

Preliminary experience at Lehigh Valley Hospital suggests that the promise of liquid‐based cervical cytology preparation not only improves sensitivity of the cytology test but also greatly enhances the overall quality of the cervicovaginal cytology service. Although the promise appears to be real, cautious optimism is indicated. In the future, more liquid‐based cervicovaginal tests coupled with outcome studies will help in the evaluation of whether liquid‐based systems truly allow better determination of both diagnosis and prognosis. See also pages 193‐6.

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