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- B1290子宫内膜如何诊断(0810462)
| 姓 名： | ××× | 性别： | 女 | 年龄： | 44 |
| 标本名称： | 子宫内膜 | ||||
| 简要病史： | 不规则阴道流血7个月,子宫略大 | ||||
| 肉眼检查： | |||||
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标签：子宫内膜
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本帖最后由 于 2008-11-13 21:50:00 编辑
朱正龙
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×参考诊断
superficial focal carcinoma
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sdping1978 离线
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The uploaded photos do not show features diagnostic of atypical glandular hyperplasia or endometrioid adenocarcinoma. Degenerative features (fragmentation and loss of cytologic details) predominate, which could easily be due to breakdown in utero (such as seen in dysfunctional uterine bleeding) or autolysis after curettage. I suggest correlation with pre-surgical ultrasound. If there was any endometrial thickening, repeat curettage for diagnostic tissue specimen is needed. If repeat surgery yields similar specimen, this patient can be followed with hormonal therapy.
聞道有先後,術業有專攻
| 以下是引用stevenshen在2008-11-15 12:27:00的发言：
Similar opinions as above - no intact endometrial tissue for evaluation, specimen has crush and preservation artifact; - some glandular complexity (more than physiological); - no significant cytologic atypia. - would consider both hyperplasia and low grade endometrial carcinoma. - there is great limitation for showing endometrial biopsy on the website. |
译文：意见同上
-没有完整的内膜组织适宜评价，标本有挤压和假象；
-一些腺体有复杂（比生理性多）；
-没有明显的细胞学异型性；
-要考虑增生过长和低级别子宫内膜癌；
-网站上显示的子宫内膜活检标本有局限性。
| 以下是引用mjma在2008-11-20 11:20:00的发言： The uploaded photos do not show features diagnostic of atypical glandular hyperplasia or endometrioid adenocarcinoma. Degenerative features (fragmentation and loss of cytologic details) predominate, which could easily be due to breakdown in utero (such as seen in dysfunctional uterine bleeding) or autolysis after curettage. I suggest correlation with pre-surgical ultrasound. If there was any endometrial thickening, repeat curettage for diagnostic tissue specimen is needed. If repeat surgery yields similar specimen, this patient can be followed with hormonal therapy. |
