A TCT that does not exclude high grade lesions means that the cervix is highly diseased and may have cervical cancer. A TCT showing no exclusion of high grade lesions means that the patient has atypical hyperplasia of squamous epithelial cells on TCT, which does not exclude a high grade squamous intraepithelial lesion. It indicates the possibility, but not the certainty, of the presence of high-grade lesions in the patient’s cervix. TCT alone cannot clarify whether the cervix has lesions, and further colposcopy is needed. If the colposcopy is abnormal, some tissue needs to be obtained at the site of the suspected lesion and histopathologic examination needs to be done in order to make a definitive diagnosis. Patients should go to regular hospitals for further examination, clear diagnosis and treatment if TCT does not show any exceptions of high degree of lesions.