50岁，标本血液成份很多。我报高度病变。有滴虫感染。阴道镜图像不够高度病变。

请各位老师帮忙分析，是否滴虫对细胞形态的影响。谢谢！

 华夏真是个很好的学习平台，

努力学习中

 I am even not sure these cells are abnormal squamous cells.  Some cells i cannot see well.  But in 50 years old woman, some basal/parabasal cells have high N/C ratio and mimic HSIL. Also be aware of possible endometrial cells. There is a bloody background.  Was she in menstrual phase?

Trichomonas can make pseudohalos (trich halo) whick mimic LSIL, but usually don't cause high N/C ratio to confuse with HSIL.  Trichomonas usually have an inflammatory background.

 此例患者09年6月在外院检查结果也是HSIL。末次月经为9月18号。等待治疗滴虫后的复查。