CIN,再检

mjma老师意见：我认为此例是宫颈浸润性鳞癌了。从片子上看，此标本人为假象太多，比如烧灼、包埋方向等都有问题，因此判断起来有困难。（请原谅我的直接，从病理角度出发，对事不对人而已）。我认为那几个在间质中的细胞巣以及细胞学的非典型性已经足够诊断了。至于浸润深度从所给图片就很难判断了。

顺便提一下，mingfuyu老师说的应该是因噎废食的“噎”字吧？

 Invasive squamous cell carcinoma.

很多时候鳞癌伴很重炎症反应，不能因疬（没找到正确的字，sorry)废食。左最下图有细胞间桥（intercellular bridges)， 是鳞状细胞的特征。有时不好区别鳞细胞，腺细胞时有帮助。本例可能有血管淋巴侵润 (lymphovascular invawion)，好好找找。

Yes, I do believe this is a case of invasive squamous cell carcinoma of uterine cervix. Although the histologic sections suffered some cautery and other artefacts with suboptimal orientation (excuse my criticism, not against you as the pathologist), making assessment of tangential cut of surface difficult, I think the shapes of the rare nests embedded in desmoplastic stroma and cytologic atypia seen are convincing enough. The depth of invasion, however, is difficult to evaluate.

 报癌还是要慎重 我不敢报 炎症较重