ASC-H, cannot exlude SCC.  I don't see definite endometrial cells. The right lower phote may be lymphoid aggregates, not necessarily endometrial group.

掌心0164译：

ASC-H，不排除鳞状细胞癌。我看不出明确的子宫内膜细胞。右下角低倍图可能是淋巴细胞，不一定是子宫内膜。

 Firstly I need to mention that what we discuss here is subjective because our impression is based on some photos only. 首先我需要提及的是我们在这里讨论的主观性，因为我们仅仅基于一些图片。

Agree with above analysis. It is abnormal Pap. I suggest to call ASC-H, and AGC. The reasons are what you have described. The key is that the women should get tissue sampling.同意上面的分析。这是一个不正常的巴氏涂片。我建议报ASC-H和AGC；这些原因正如你描述的。关键是这个患者应该进一步组织活检。

 Remember three things: 请记住三点

1) women should have endocervical and endometrial sampling even we call AGC, endocervical for women >or =35 years..1、在35岁及以上的女性，我们报AGC后应该进行宫颈管和宫内膜活检。

 2) 70- 80% women with AGC will not have lesions in the follow-up histologic examination. As pathologists or cytopathologists we feel bad for ourselves. But this is the limitation of pap test. What can we do? 2、70-80%的AGC女性在组织学随访中是阴性的。作为病理学家或细胞病理学家感到难过；但是这是巴氏的局限性。那我们能做什么呢？

3) Pap test is a screening test (principle). If you want to call malignant in Pap test you must  be100% sure of this diagnosis. Otherwise, please use atypical, or at most favor or suspicious ....words. Bottomline is that you need to havecomminication with the clinician to express your worry for this case and suggest women to have bx.

3、巴氏试验是筛查试验（原则）。如果你想在巴氏中报恶性肿瘤，你就得有100%的把握肯定这个诊断。否则，请用非典型性、或可能性大或可疑等等字眼。低线是你必须跟临床医生沟通表明你对这个病例的担心和建议必须进行活检。

 If you spend time to consider it is malignant or atypical, I suggest you call atypical.如果你花精力考虑这是恶性或非典型性，我建议你叫非典型性。

cz

掌心0164翻译。