共1页/1条首页上一页1下一页尾页
回复:37 阅读:5261
B1745子宫内膜39岁,请教各位老师是复杂增生还是分泌

千百合 离线

帖子:1294
粉蓝豆:121
经验:1764
注册时间:2006-12-13
加关注  |  发消息
楼主 发表于 2009-06-14 11:37|举报|关注(1)
浏览排序[ 顺序 逆序 楼主 支持 精彩 ]  快捷回复
姓    名: ××× 性别:   年龄:  
标本名称:  
简要病史: 不规则流血1个月
肉眼检查:  
  • 子宫内膜39岁,请教各位老师是复杂增生还是分泌图1
    图1
  • 子宫内膜39岁,请教各位老师是复杂增生还是分泌图2
    图2
  • 子宫内膜39岁,请教各位老师是复杂增生还是分泌图3
    图3
  • 子宫内膜39岁,请教各位老师是复杂增生还是分泌图4
    图4
  • 子宫内膜39岁,请教各位老师是复杂增生还是分泌图5
    图5
  • 子宫内膜39岁,请教各位老师是复杂增生还是分泌图6
    图6
  • 子宫内膜39岁,请教各位老师是复杂增生还是分泌图7
    图7
  • 子宫内膜39岁,请教各位老师是复杂增生还是分泌图8
    图8
  • 子宫内膜39岁,请教各位老师是复杂增生还是分泌图9
    图9
  • 子宫内膜39岁,请教各位老师是复杂增生还是分泌图10
    图10
  • 子宫内膜39岁,请教各位老师是复杂增生还是分泌图11
    图11
  • 子宫内膜39岁,请教各位老师是复杂增生还是分泌图12
    图12
  • 子宫内膜39岁,请教各位老师是复杂增生还是分泌图13
    图13
  • 子宫内膜39岁,请教各位老师是复杂增生还是分泌图14
    图14
  • 子宫内膜39岁,请教各位老师是复杂增生还是分泌图15
    图15
  • 子宫内膜39岁,请教各位老师是复杂增生还是分泌图16
    图16
标签:子宫内膜 分泌期
本帖最后由 于 2009-06-14 11:59:00 编辑
0
signature
努力的工作,快乐的生活!
×参考诊断
分泌期子宫内膜

杨斌 离线

帖子:370
粉蓝豆:6
经验:423
注册时间:2007-06-22
加关注  |  发消息
1 楼    发表于2009-06-16 22:41:00举报|引用
返回顶部 | 快捷回复

 Based on decidualized stroma and secretory endometrial glands, it is the SECRETORY ENDOMETRIUM, not complex hyperplasia. 

Now I would like comment on so-called "drug effect" on endometrium, since several of you mentioned above on drug effect in this case. The drug effect usually means progestin-related changes. The morphologic changes in endometrium will be dramatically different between endogenous and exogenous progestin. In response to high level of endogenous progestin produced by a woman herself, both endometrial stroma and glands will show changes as seen in this case. However, human body is smart enough to recognize some progestin is not produced by themselve. In response to exogenous progestin, such as oral contraceptive pills with high dose of progestin, endometrial stroma shows significant decidualized changes which is much more dramatic than endogenous progestin. However, endometrial glands are often inactive or even atrophic, lacking secretory change.  This asynchronized morphologic changes between endometrial stroma and glands is the hallmark for indication of exogenous "drug usage".  The degree of glandular atrophy is proportionally correlated to the dosage of progestin. High dose progestin is used clinically for treatment of endometrial hyperplasia, stop bleeding and other situations. In case of treatment of complex or atypical complex hyperplasia, the hyperplastic glands often become atrophic. But squamous metaplasia will be less respond to progestin and is often persistent in the follow-up endometrial biopsy.

Therefore, when you toss a differential diagnosis of "drug effect" in the future, please make sure you examine both stroma and glandular changes.

1

zengfans..
回复
signature
不坠青云之志,长怀赤子之心
回复:37 阅读:5261
共1页/1条首页上一页1下一页尾页
【免责声明】讨论内容仅作学术交流之用,不作为诊疗依据,由此而引起的法律问题作者及本站不承担任何责任。
快速回复
进入高级回复
您最多可输入10000个汉字,按 "Ctrl" + "Enter" 直接发送
搜索回复/乘电梯 ×
按内容
按会员
乘电梯
合作伙伴
友情链接