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- 子宫内膜
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It is difficult to make dx for some endometrial biopsy case. It is no way to make pathologic diagnosis in true practice by only few photos and but not the true sldes. Figures demonstrate irregular and branching glands with paillary pattern and with mild cytologic atypia. No stromal component is noted. This make the evaluation more difficult, confluent growth pattern or surface detached framents. The differential dx include papillary surface syncytial change to endometrioid carcinoma. I favor atypical complex hyperplasia. You need figure out the size the lesion et al. Anyway It is just for your reference.
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Agree with Dr. Zhao. Very fragmented tissue with focal cribriform and papillary growth patterns, suspicious for adenocarcinoma. You need to find a piece of intact tissue to evaluate, sometimes cutdown will help. If still not diagnostic, talk to you clinician, find out the clinical and sonographic findings. If the clinical info still doesn't help, then you have to give a descriptive diagnosis, express your concern, and suggest clinical correlation and endometrial curettings in clincally indicated.
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本帖最后由 于 2009-01-13 10:33:00 编辑
| 以下是引用cqzhao在2009-1-13 2:42:00的发言： It is difficult to make dx for some endometrial biopsy case. It is no way to make pathologic diagnosis in true practice by only few photos and but not the true sldes. Figures demonstrate irregular and branching glands with paillary pattern and with mild cytologic atypia. No stromal component is noted. This make the evaluation more difficult, confluent growth pattern or surface detached framents. The differential dx include papillary surface syncytial change to endometrioid carcinoma. I favor atypical complex hyperplasia. You need figure out the size the lesion et al. Anyway It is just for your reference. |
初次试译，如有不妥，请赵老师原谅并批评指正：
子宫内膜标本本身就很难做出诊断。在实际工作中，仅凭几幅图像而不实际看切片，几乎没办法做出病理诊断。本例中，腺体不规则、分枝状，细胞形态温和，未见间质成分，腺体似有融合，表面似有崩解，据此可以做出诊断的范围可以从表面乳头状合体细胞增生直到子宫内膜癌。我个人还是倾向于复杂性不典型增生。（此句未理解，size在上面已经说了啊）。仅供参考吧。
- 赚点散碎银子养家，乐呵呵的穿衣吃饭
| 以下是引用wq_9603在2009-1-13 10:33:00的发言：
初次试译，如有不妥，请赵老师原谅并批评指正： 子宫内膜标本本身就很难做出诊断。在实际工作中，仅凭几幅图像而不实际看切片，几乎没办法做出病理诊断。本例中，腺体不规则、分枝状，细胞轻度异常。未见间质成分，使诊断更为难，是腺体融合生长或分离的片但。据此可以做出鉴别诊断的范围可以从表面乳头状合体细胞增生直到子宫内膜癌。我个人还是倾向于复杂性不典型增生。你需要知道病变范围大小等。仅供参考吧。 |
Thank you for your very good translation. Sometimes I wrote some wrong sentence due to the time limitation.
Good job. Keeping doing.
cz
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