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- B2096一例少见的宫内膜病变，公布结果！
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| 姓 名： | ××× | 性别： | 女 | 年龄： | 72 |
| 标本名称： | 宫内膜 | ||||
| 简要病史： | 阴道出血6天 | ||||
| 肉眼检查： | 全切子宫，宫内膜弥漫增厚。 | ||||
标签：子宫内膜 组织细胞
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本帖最后由 于 2009-11-09 10:24:00 编辑
- 许春雷
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×参考诊断
组织细胞性子宫内膜炎
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In 1978, Barua et al. described the first case of XGE without evidence of endometrial carcinoma or hyperplasia. Two years later, Buckley and Fox described two cases and labeled them as “histiocytic endometritis” . In 1983, Ashkenazy et al. described four cases with endometrial foamy cells. Two of their cases were presented with endometrial hyperplasia or carcinoma and the other two isolated XGE cases revealed hemosiderin in foamy cells . In 1985, Pounder and Iyer reported a case of XGE associated with endometrial adenocarcinoma . The foamy cells of their case contained brown pigment that supposed to be lipofuscin or hemosiderin . In 1989, Blanco et al. reported a case of XGE and the foamy cells were described to be macrophages, components of a nonspecific inflammatory reaction, which have phagocytosed breakdown elements of retained endometrial hemorrhage . In 1990, Russack and Lammers reported six XGE cases associated with endometrial carcinoma . The pathogenesis of their cases was supposed to be associated with radiation therapy for endometrial carcinoma . Recently, Noack et al. reported a case of XGE with lethal outcome .
——摘自Doğan-Ekici AI, Usubütün A, Küçükali T, Ayhan A.Department of Pathology, School of Medicine, Yeditepe University, Istanbul, Turkey。Xanthogranulomatous endometritis: a challenging imitator of endometrial carcinoma。 Infectious diseases in obstetrics and gynecology. 2007
- If you have great talents, industry will improve them; if you have but moderate abilities, industry will supply their deficiency. 如果你很有天赋，勤勉会使其更加完美；如果你能力一般，勤勉会补足其缺陷。
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| 以下是引用xclbljys在2009-11-11 10:47:00的发言：
|
谢谢分享！每一个病案都会给我们一个启迪和扩增我们的智库！
- 不坠青云之志，长怀赤子之心
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本帖最后由 于 2009-11-11 10:51:00 编辑
| 以下是引用whyy在2009-11-11 9:19:00的发言： 很像黄色肉芽肿性子宫内膜炎。当然你呈送的诊断必须随时排除两种恶性肿瘤：1.转移性恶性黑色素瘤；2.放疗后的腺癌，特别是后者。有文献报道某些放疗后的腺癌呈现所谓“弥漫性黄色肉芽肿或黄色肉芽肿性子宫内膜炎”所以，所有子宫内膜都需仔细检查，以便发现残留腺癌部分。 |
- 许春雷
