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- 35 y/o, ASCUS from outside hospital, colposcopy.
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.
| 以下是引用mingfuyu在2009-4-29 7:49:00的发言：
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. |
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| 以下是引用mingfuyu在2009-4-29 7:49:00的发言：
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. |
