图片: | |
---|---|
名称: | |
描述: | |
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。 |
以下是引用xclbljys在2009-11-8 9:30:00的发言: 请杨斌老师点评,我们再报科室会诊意见。 |
因为在中国巡回讲学,刚刚回到美国,回帖晚了,请大家原谅!看来楼主是要我出洋相了:-)
大致看了,很像Chronic xanthogranulomatous endometritis. Whenever you render this diagnosis, you need rule out two malignancies: 1) metastatic melanoma; 2) adenocarcinoma treated with radiation beam, especially the latter. It has been reported in literature that some radiation-treated adenocarcinoma presented with so-called 'diffuse xanthomatous or xanthogranulomatous endometritis". Therefore, careful sections of all endometrium is need to see if there is any residual carcinoma. I hope this is
redsnow007 离线
wangdingding 离线
n03553522119 离线