CINIII级累及腺体

 腺体鳞化，个人感觉看细胞还是先用中倍看，可以有对照比较，一旦用高倍细胞给人感觉太过吓人

 腺体鳞化

  腺体鳞化。

 a good case which I support  the consultative opinion

 本例后来到四川大学华西医院会诊，结果为CIN1，并且在华西医院重新取材，病理检查后结果还是CIN1，谢谢各位老师。

 Most people think it is squamous metaplasia. I feel it is a very difficult case. It is more difficult to read the photos than to read true slides. I feel a little unconfortable for this case. You have to evaluate your slides more carefully to rule out well differentiated squamous cell carcinoma. Or send the case to other for consultation. Squamous metaplasia and squamous cell carcinoma are totally two different diagnoses, maligancy and benign. You have to be cautious for this case.

 腺体鳞化.部分鳞化上皮有轻度不典型增生.

 腺体鳞化，细胞异型不明显。

 宫颈腺体鳞化，细胞可以轻度异型，如果报CIN或癌，要特别小心，要综合分析。

 鳞化，细胞太良了

 鳞化

 腺体鳞化，未见明确异型。

 腺体鳞化，未见明确异型。

建议：看细胞的异型性还是不能脱离了组织，在低、中倍镜下的观察很重要， 是高倍镜所不能比拟的重要，因为在低中倍镜下的观察不容易脱离周边成份，容易找到参照物。