很简单的病理，请讨论您如何处理和诊断。

 Abin，

我贴这一简单病理也是有原因的：我亲眼看到一宫颈涂片HSIL，但活检只有宫颈管组织，没有移性区，没有外宫颈鳞状上皮，活检当然没看到HSIL，临床医生以为万事大吉了。实际情况是没取到恰当的部位。病人可能几年后鳞癌回来了，到时我们就麻烦了。

 谢谢参与。3楼分析诊断非常准确，谢！

加一点：本活检只有内宫颈粘膜（endocervical mucosa),没有移形区（transformation zone)，必需告诉临床医生随访。因为多数CIN发生在移性区。

That is what i did for this case:

1.  Our file doesn't have pap for this patient, called doctor's office and they said pap was done elsewhere with ASCUS and she is indeed pregant.

2.  Saw endocervical tissue only without transformation zone.  Cut down deeper into block, still no transformation zone and no dysplasia.

My report reads:

Endocervical mucosa with chronic active cervicitis and pregnancy related stromal changes, negative for dyaplsia.  See comment.

Comment: No pap smear is found in our file for correlation with this biopsy.  Please note that no transformation zone is present in this biopsy where most squamous dysplasia occurs.  Not is made of  the patient's history of ASC (done elsewhere).  Follow up with cervical cytology is suggested.