“…Similar to these studies, many studies found that increased N/C ratio, nuclear enlargement, loss of polarity, nuclear irregularity, macronucleoli, overlapping, feathering, and papillary clusters were significant factors in terms of malignancy 30,32,37‐40 . On the other hand, some studies have emphasised that some cytomorphological findings (eg, nuclear enlargement, nuclear irregularity, increased N/C ratio, and overlapping) are seen in both reactive and neoplastic processes; for this reason, they cannot be considered as distinctive features for malignant lesions 18,28,41,42 . In addition, Babkowski et al and Levine et al reported that samples from the endocervical canal might contain some cells with nuclear pleomorphism, abnormal chromatin pattern, overlapping, nuclear palisading, feathering, and rosette formation 41,43 …”