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- 37岁，宫颈糜烂，液基制片。
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liguoxia71 离线
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看了组织学的结果再来评论细胞学片子。
首先那些细胞无明显的增大，或者增大的程度不够。
细胞核看似深染，核内有些地方是透亮的，染色质成多点状分布，并无恶性特征。
核膜薄，无明显增大的核仁。
成群的细胞中大小较一致，无明显的核大小不一。
细胞看似成群，有些是片状排列的，有些是栅栏状排列的，考虑为颈管细胞。
那些堆积成立体感很强的细胞，是不是考虑为退变的宫内膜细胞。
如果要考虑是有问题细胞，首先要考虑为高分化的东东，我看在这里不够。倾向宫颈重度糜烂。
我是事后诸葛亮，分析对否望各位老师指正。
谢谢法师提供的好帖。
PAP: atypical endocervical glandular cells. Some maybe endometrial cells, don't have to report in a 37 years old woman.
I cannot see the biopsy cytologic features very well. It seems that the biopsy DOES NOT REFLECT the atypical endocervical glandular cells seen in the pap smear.
A very important point i have to make here is: when biopsy is negative, it doesn't mean the pap is or isnot what it really is!!! Please almay involve SAMPLING ERROR in biopsy as a possible interpretation for the descrepancy. We always review the paps and then make a statement: biopsy and pap correlate or not correlate.
If pap is a solid AIS but biopsy is negative, we have to state so in the biopsy report so that GYN doctors have to do colposcopy and follow up again!! I have seen pap with definitive HSIL, biopsy is negative but only biopsed endocervial tissue, not tranformation zone, then patient was informed that she is fine with nothing to worry about. Very dangerous practice!! She may come back in 1 year with SCC, then we would be all in big trouble.
