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- B1594宫颈赘生物？宫颈癌？
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| 姓 名： | ××× | 性别： | 女 | 年龄： | 43 |
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标签：宫颈 子宫内膜 粘液 腺癌
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宫颈：高分化子宫内膜粘液腺癌
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| 以下是引用杨斌在2009-4-21 9:21:00的发言：
Really? I will be surprised for diagnosing a "well differentiated mucinous adenocarcinoma of the endometrium" for this case. Based on clinical presentation of cervical mass, patient's young age and morphology with moderate to high grade nuclear atypia with abundant eosinophilic cytoplasm, I am so concerned of a cervical adenocarcinoma rathen than endometrial origin. Have you done immunostain for p16 and CEA? It will help in most cases in differentiating whether an adenocarcinoma is from endocervix or from endometrium. It is important to distinquish them since the treatment is totally different for these two different cancers. 敬佩杨老师对科学真理的坚贞追求！在科学的道路上，不仅要有正确的思路，更要有求真务实的科学态度！态度决定成就。 |
- 能给人们带来幸福的花儿啊,一定在哪里悄悄地开放
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Agree with Dr. Yang and don't agree with "well differentiated mucinous adenocarcinoma of endometrium". My diagnosis would be adenocarcinoma of probable endocervical origin, in-situ and invasive. There is stromal inflammatory response and angulated infiltrative pattern in the malignant glands.
| 以下是引用xjhb-yq在2009-4-8 18:12:00的发言： 腺一皮细胞核拥挤，显著的核分裂像，原位腺癌应该够了，是否有浸润，最好发几个低倍图。 |
Really? I will be surprised for diagnosing a "well differentiated mucinous adenocarcinoma of the endometrium" for this case. Based on clinical presentation of cervical mass, patient's young age and morphology with moderate to high grade nuclear atypia with abundant eosinophilic cytoplasm, I am so concerned of a cervical adenocarcinoma rathen than endometrial origin. Have you done immunostain for p16 and CEA? It will help in most cases in differentiating whether an adenocarcinoma is from endocervix or from endometrium. It is important to distinquish them since the treatment is totally different for these two different cancers.
- 不坠青云之志，长怀赤子之心
