只此一张图片.

名称：图1
描述：图1

 Actually Xiaohe brought a very important topic for cervical histopathology and cytology. Sometimes atrophy can confuse you for CIN2 lesion.  We all know one of the most challenge cervical cytology is atrophy from postmenopausal women. Condense nuclei with atrophic cytoplasm gives you high "N/C" appearance and mimics HSIL. Overdiagnosis of atrophy to HSIL is one of the most common mistakes seen in cervical cytology. We just had cervical screening project done in one of the rural areas in China. When we compared cytologic diagnosis, HPV results and biopsy results, we find there are some false-positive cytologic diagnoses. Among them, overdiagnosis of atrophy to HSIL is the most common one.  Therefore, remember this case and thinking of cytology will prevent mistakes during your practice.

Thank Xiaohe for bringing such an interesting case in discussion here. Kudos to everybody!

感觉这副图不应该在任何年龄段里任何情况下都诊断为萎缩。因为细胞正常极性还是乱了，细胞密度高了，核也深染些。为了大家提高，希望LZ能提供原出处的详细资料，也让俺们学习学习。

 说句实话可能会有较多的人将此诊断为CIN。

我曾遇到过类似的情况，我报的是萎缩，但患者到专科医院会诊后诊断的是CIN。结果是：那个患者做了子宫全切。

学习了，很清楚.

学习了，很清楚

 呵呵这是宫颈脱落细胞学国外网站上面的一个图,答案是:萎缩!

只是看它不是100%的感觉，所以传上来请大家一起看看.

 老年性宫颈鳞状上皮完全由旁基底细胞组成，需要与CIN鉴别，萎缩的宫颈上皮细胞核小，大小一致，极性好，无核分裂，所以本例是萎缩宫颈上皮没有错。

但是周老师为什么说是“应该是”呢？请注意青春期前的宫颈也有类似的表现，我这样理解周老师的用意，请指正.