Pap smear result: a single group of spindle cells admixed with neutrophils is seen representing atypical spindle cell proliferation. is it cancer?

It is a very unusual: Pap smear report. I don't believe this one finding indicates that cancer is certainly present ... but it definitely needs clarification and raises suspicion. Please discuss with your performing physician/gynecologist. At a minimum, I believe the smear should be repeated and consideration given to additional diagnostic testing. Good wishes.

No, BUT: several points. First, you need more than atypical to say it is cancer. They have to look quite abnormal and/or be growing abnormally. HOWEVER, there are reports of groups of atypical spindle cells popping up everywhere due to cancer (lymphoma). That would be cancer. Or growing really fast (cancer). At a minimum. Watching it Really closely.