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taotaochan 离线
I feel it is too difficult to make the dx of the Pap online.
法师 asked to read the three cases and no one is easy. The qulity of the case was not very good. I may consider ASC-H and AGC. Suggest colposcopy.
If it were my case here, I will get a HPV result and then think about it.
ASC-H and AEC (atypical endocervical cells). With real slide, i maybe able to call this HSIL suspicious for invasion and adenocarcinoma in-situ, these two are what i really worry about.
Both squamou and glandular groups are absolutely abnomal. A colposcopy and tissue biopsy are strongly suggested.
Some very atypical squamous cells are seen in the last two photos with abnormal keratization and very odd-shaped cells, and these are my basis to worry about SCC.
The glandular groups are dark with very crowed piled up nuclei. Chromatin is very coarse. The glandular groups are large forming strips instead of small cell balls. That is why i worry about adenocarcinoma in situ of endocervix instead of endometrium.