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- 罕见病例！！！
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zhangjianxin 离线
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I remember this case and come here to check the result. I like above discussion. We all have equal power and right to mention our oppinions here. We will not take any responsbility for what we said. For the true case we are not wrong if we report AGC. However we have to contact with patient's clinician to make sure the patient will have cervical and endometrial sampling. It is true that we must be very cautious to call carcinoma in Pap for these young patients.
Read photos again. generally speaking , clear cell carcinomas have more ugly cytology, but these cells are relative bland even though we can appreciate the pleomorphism of cells. So endometrioid carcinoma???
Thank for the interesting case. We are waiting for your surgical results.
Do you have residule fluid? You can ask Lab to make a cell block if you have. It may be helpful. My feeling is there are many clusters of cells in the fluid.
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zhangjianxin 离线
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wangdingding 离线
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本帖最后由 于 2009-01-03 02:54:00 编辑
Cellular specimen with cluster highly atypical cells showing pleomorphism, prominnat nuclei, and abundant cytoplasm with clear appearance in some cells.
Agree with above. It looks like adenocarcinoma. It can be endocercial or endometrial origins or metastatic tumor.
Tumor type can be clear cell carcinoma or other. Based on age and cytology, It can be endometrial endometrioid carcinoma. secretory variant. Remeber that I say "can" be....
Anyway in the Pap test it is good enough if you report adenocarcinoma or AGC favor neoplasma if you want to leave some space for you. For this case, it may provde you more information if you can prepare a cell block or do some IHC if you have a good cell block.
I mentioned here many times that Pap test is a screening test. We should keep this priciple in our mind when we evaluate Pap test.
Thank for the excellent case and photos. Waiting for your final histologic results.
