Incidence of ASC-H has been reported to be 0.13-0,84% and SIL on follow-up biopsy ranged from 27 to 89%. This diagnosis is used for cases that show cellular abnormalities more marked than reactive changes but that fall short of a definitive diagnosis of HSIL. We used cyto histologic correlation to determe the clinical significance of ASC-H fron 2004 to 2008.Out of 77 709 Pap smears, 182 were ASC-H (0,23%). ....... The diagnosis of ASC-H is associatd with an appreciable risk of lesion, so the patiensts should undergo colposcopic and histologic assessment to toule out SIL. Negative biopsy review outlined doubtful cases were mainly squamous metaplasia.