Which of the following findings in cervical cytology indicates a higher likelihood of underlying pathology?

Atypical glandular cells identified in cervical cytology represent a significant finding that raises concern for underlying pathology. This group of cells may indicate a range of issues, including atypical glandular lesions, which could potentially progress to malignancy. The presence of atypical glandular cells suggests that there may be an abnormal process at play, possibly involving the cervix or surrounding areas in the reproductive tract.

In contrast, normal squamous cells and normal glandular cells are typically indicative of a healthy cervix and do not raise suspicion for underlying disease. Atypical squamous cells, while abnormal, can sometimes result from benign processes and do not point specifically to glandular pathology. Therefore, the presence of atypical glandular cells is particularly noteworthy as it suggests the need for further investigation, such as colposcopy, to assess for possible carcinoma or precancerous changes in the endocervical region.