有癌变可能。 还是慎重点好

 有癌变可能。 还是慎重点好

还不能报CA，考虑不典型增生。

 Endometrial adenocarcinoma, endometroid type with villoglandular architecture, nuclear grade 1, FIGO grade 1, arising in atypical complex hyperplasia.

I feel it is not enough by just saying: cancer or not cancer.  We need to be able to tell people why.  I would diagnose adenocarcinoma because the glands are fused without stroma in between in many photos.  Some photos show only atypical hyperplasia.  But we diagnose the worst.  Villoglandular architecture has deceiving simple architecture.

If this patient doesn't have contradiction for surgery,a simple hysterectomy would be appropriate, not a overtreatment.  If she has contradiction, Megace treatment sometimes can get rid of all the tumor tissue.

复杂性增生，恕我眼拙没用看出来哪里有不典型增生更别说癌了。

ca