Last week I had a cervical bx case. I found the patient's recent Pap smear. I feel it is interesting case. Just take some photos and share with you here.

67 y women, Pap was negative in 2006, endometrial bx with endometrial polyp in 2007.The followings are the Pap last month. (上周有了这个病例的活检，并复习了这个病人最近的巴氏涂片。感觉这个病例很有意思，在这里贴些图片跟大家分享。病史：67岁女性，2006年涂片阴性，2007年子宫内膜活检为内膜息肉。这是上个月的巴氏随访涂片。)

Fig 1-4 400x

Fig 5 600x

 子宫内膜细胞

啊哈，亏得俺早早回答了，想不到赵老师还会点名呢  

 Knew that Dr. 巴山夜雨涨秋池 and 法师 are  excellent cytopathologist s and noticed that you had excellent interpretaion for many cases in the web.

I am interested to know you interpretation for my case. 请.

Of cause, welcome all of you to share your impression.

I will take some photos from histological sample in the sollowing days and paste here in the weekend.

Thanks

cz

这么好的病例，我再来猜

1、ASC-H；

2、AGC，非典型宫颈内膜细胞

They are good questions. I gave all information I had above. Patient saw doctor this time due to vaginal bleeding.

 It is right whenever we sign out Paps we should try to know patients' hx especially for some difficult cases.

All patients's previous pathologic reports can be found in our database  if they were reported in UPMC system (about 20 hospitals).

Can you check previous pathologic reports in computer in China? 

        说实话，我有时也挺奇怪的；中国人一生中要参加那么多考试。不管怎么考过来的，都没有说怕过。但是在论坛讨论或读片会的时候总是很少人愿意说出自己的观点；生怕错了丢“面子”。难怪说有老外说我们喜欢做“面子”工程。要说出错，估计这个论坛没有几个人出错得比我多了；但是我脸皮还是那么厚，还是愿意来说。我就相信我现在错得越多以后错得越少，被我误诊或漏诊的病人就会越少；这么好的事情何乐不为呢？哈哈。