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- 转贴——大家一起学习病例
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69 y/o woman with vaginal bleeding
69 year old woman with a history of diabetes and hypertension presents with a complaint of vaginal bleeding. Her last PAP smear was done a year ago and was normal. The patient is postmenopausal and is on estrogen replacement therapy. On physical examination, traces of blood can be seen in the vaginal vault. The cervix is unremarkable and no other abnormality is noted. A PAP smear is performed.
69岁女性，阴道出血
既往有糖尿病和高血压病史,主诉为阴道出血。一年前巴氏涂片正常。病人已绝经，正服用雌激素替代治疗。体检：阴道穹窿部可见出血痕迹，宫颈暴露不明显，无其它异常发现。例行巴氏涂片筛查。
ProcedureSource（取材工具）： 胞膜/子宫颈刷（宫颈刷）
Prep type（制片类型）： 涂片（涂片）
Stain（染色）： 巴氏（巴氏）
Magnification: （放大倍数）： 100 ×（1）
Magnification: （放大倍数）： 400 ×（2,3,4,5）
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本帖最后由 于 2009-10-23 22:36:00 编辑
- 掌心0164
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helifenyang 离线
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Possible Diagnosis |
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Reparative squamous epithelium |
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Benign endocervical epithelium |
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Benign endometrial epithelium |
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Low-grade squamous intraepithelial lesion (LSIL) |
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High-grade squamous intraepithelial lesion (HSIL) |
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Squamous carcinoma |
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Endocervical adenocarcinoma |
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Herpes |
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Trichomonas |
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Candida |
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Actinomyces |
- 掌心0164
哈哈，有你一个人参与我也会把最后的资料发完。好像大家都对这种规范化的学习不感兴趣；看样子以后还得少转贴了。
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Results: Correct. HPV infection is associated with endocervical adenocarcinoma and squamous carcinoma of the cervix. |
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Your answer was HPV infection. End of case. Please see things to be considered in the differential diagnosis. |
- 掌心0164
