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- 子宫内膜够癌吗?
Well differentiated endometrioid adenocarcinoma with squamous differentiation. Please thoroughly search for solid areas to provide evaluation of FIGO grade. If no other solid areas seen in all slides, based on photos provided, it is FIGO grade 1. You should provide frozen section to evaluate the depth of myometrial invasion (less than or greater than 1/2 of full myometrial thickness) to guide further surgical treatment.
- 不坠青云之志，长怀赤子之心
| 以下是引用杨斌在2009-10-19 6:38:00的发言：
Well differentiated endometrioid adenocarcinoma with squamous differentiation. Please thoroughly search for solid areas to provide evaluation of FIGO grade. If no other solid areas seen in all slides, based on photos provided, it is FIGO grade 1. You should provide frozen section to evaluate the depth of myometrial invasion (less than or greater than 1/2 of full myometrial thickness) to guide further surgical treatment. |
朱正龙
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本帖最后由 于 2009-10-19 10:09:00 编辑
| 以下是引用青青子矜在2009-10-18 11:04:00的发言：
部分区域筛状结构，细胞核圆、泡状、核仁及核分裂相提示为不典型增生，未看到明确间质纤维化（图2好象有）。 53岁的年纪，报不典型增生不除外内膜样腺癌，她也是手术了。大体下来再看喽。建议术中快速。 再传图时希望多点低倍，谢！ |
非常赞同!
楼主说是宫腔内容物，提示是诊刮的标本。实际上,对于诊刮的标本,特别是标本量不足或未完全刮到病灶的时候，要鉴别高分化的宫内膜样腺癌和复杂型增生过长伴不典型性增生，的确是很困难的。这时要进行FIGO分期，那基本上不可能，非得等全子宫开下来的标本才好观察。术中冰冻快速诊断，是最佳选择。
- 王军臣
Favor ademetrioid type adenocarcinoma, FIGO grade 1, nuclear grade 1-2. It is also OK for me to report as atypical complex hyperplasia, cannot exclude endometrioid type adenocarcinoma.
We routinely diagnose endometrioid type adenocarcinoma and give FIGO grade in endometrial biopsies and curettage.
| 以下是引用mingfuyu在2009-10-20 10:28:00的发言：
Favor ademetrioid type adenocarcinoma, FIGO grade 1, nuclear grade 1-2. It is also OK for me to report as atypical complex hyperplasia, cannot exclude endometrioid type adenocarcinoma. We routinely diagnose endometrioid type adenocarcinoma and give FIGO grade in endometrial biopsies and curettage. |
支持子宫内膜样腺癌，FIGO I级，核分级1-2级；当然，对我来说诊断“非典型性复杂型增值，不除外子宫内膜样腺癌”也是可以接受的。
对子宫内膜活组织检查及刮除术样本，我们常规诊断子宫内膜样腺癌并且给出FIGO级别。
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谢谢青青子矜的准确翻译。我不太明白为什么内膜活检不好诊断内膜样腺癌并给FIGO分级。I think i need only about a few minimeter of continuous endometrial gland proliferation without intervening stroma to make a diagnosis of endometrioid adenocarcinoma. FIGO grade is determined by the percentage of solid tumor in the total tumor volume which could be assessed with any amount of tumor. What we diagnose from endometrial biopsy could be modified when hysterectomy is done, but the initial evaluation of tumor from biopsy or curettage is very important in helping clinical decision making. Some low grade tumor can be treated with progesterone (Megace). Some patients are not good hysterectomy candidates.
| 以下是引用mingfuyu在2009-10-21 8:14:00的发言： 谢谢青青子矜的准确翻译。我不太明白为什么内膜活检不好诊断内膜样腺癌并给FIGO分级。I think i need only about a few minimeter of continuous endometrial gland proliferation without intervening stroma to make a diagnosis of endometrioid adenocarcinoma. FIGO grade is determined by the percentage of solid tumor in the total tumor volume which could be assessed with any amount of tumor. What we diagnose from endometrial biopsy could be modified when hysterectomy is done, but the initial evaluation of tumor from biopsy or curettage is very important in helping clinical decision making. Some low grade tumor can be treated with progesterone (Megace). Some patients are not good hysterectomy candidates. |
