好像是宫颈管内口的粘膜慢性炎，有鳞化。

 宫颈粘膜慢性炎，伴鳞化

 好像是宫颈管内口的内膜，有鳞化。

 不像蜕膜样间质

 感觉是颈管内口附近的内膜，有点鳞化，间质蜕膜样变。

以下是引用海上明月在2009-9-28 20:14:00的发言：  好象是宫颈管上段的刮出物, 可能是一个炎性息肉样的病变.  有腺体增生,同时有鳞化.

支持！

 复杂增生伴化生

 感觉是宫颈的东西，有异型，但不够癌。

 好象是宫颈管上段的刮出物,

可能是一个炎性息肉样的病变.  有腺体增生,同时有鳞化.

 炎症改变，绝经后阴道流血有部分是炎症引起

This is not an easy case to interpret. These inflamed glands show squamous metaplasia and may be endocervical or endometrial in origin. I don't think the glandular lining is very atypical. That said, the glands are abnormally crowded. Are these glands seen in large areas or just very focally (it looks like you have plenty of tissue to examine)? Some endometrial adenocarcinomas can have superficial mucinous change and marked active inflammation just like that seen in microglandular hyperplasia seen in younger women with or without contraceptive use). Her age at 54 is against the possibility of microglandular hyperplasia of endocervix.