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- 25岁，液基，体检
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Endocervical glandular cells with some degree of atypia (stratification, disorganized nuclei so called drunk honeycombing). Not sure it is reactive response which we don't report as epithelial cell abnormality or atypical glandular cells (AGC) which needs a colposcopy. 25 years old is a little too young to have adenocarcinoma in situ. Nuclei are dark but sometimes the entire slide is stained dark. You need to compare with adjacent absolutely normal cells.
| 以下是引用mingfuyu在2008-11-30 3:02:00的发言： Endocervical glandular cells with some degree of atypia (stratification, disorganized nuclei so called drunk honeycombing). Not sure it is reactive response which we don't report as epithelial cell abnormality or atypical glandular cells (AGC) which needs a colposcopy. 25 years old is a little too young to have adenocarcinoma in situ. Nuclei are dark but sometimes the entire slide is stained dark. You need to compare with adjacent absolutely normal cells. |
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译文
宫颈腺上皮细胞，具有一定异型性：细胞核排列紊乱呈多层，形成所谓的“蜂窝状”结构 。但是不确定这种变化是反应性改变还是非典型改变，若为反应性改变则无须报告，若此改变为非典型改变则需要进行进行阴道镜检查。本例病人只有25岁，这个年龄对于诊断原位腺癌来说是有点太年轻了。尽管本例细胞核深染，但是由于整张涂片染色都比较深，所以，需要与相邻的绝对正常细胞进行比较才可进行诊断。
