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yonghongchen 离线
姓 名: | ××× | 性别: | 女 | 年龄: | 45 |
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简要病史: | 主因阴道流血10天,诊刮子宫内膜组织,6*3*2厘米 | ||||
肉眼检查: |
jiangxiaoyu 离线
以下是引用mingfuyu在2010-1-15 9:03:00的发言:
Inactive endometrium with tubal metaplasia and ?stromal breakdown. The clear cells are peg cells in tubal metaplasia. Some cells show cilia. I don't see miotoses in glands or stroma, cannot call it proliferative. No cytoplasmic secretory vacuoles---not early secretory phase; glands are small and tubular without abundan luminal secretion and no stromal edema---not mid secretroy; no spiral arterieoles and stroma not predecidualized---not late secretory. Secretory phase has distinct morphologic features depending on which day(s) of the secretory phase (also called luteal phase, post-ovulatory phase) This kind of endometrium is common in perimanopausal women. Tubal metaplasia is usually caused by persistent estrogen stimulation, she probably hasn't ovulated for more than a cycle. |
非活动性子宫内膜内膜伴输卵管化生及可疑间质崩解。透明细胞是输卵管化生中的闰细胞。部分细胞有纤毛。腺体及间质内未看到核分裂,不能称之为增生。无胞浆内的分泌空泡——不是早分泌期;腺体小且呈管状没有丰富的腔内分泌及间质水肿——不是中分泌期。分泌期按照分泌期的天数有明显的形态特征(分泌期也称黄体期,排卵后期)。
这种子宫内膜常见于围绝经期女性。输卵管化生常由持续的雌激素刺激引起,患者可有一个或更多的无排卵的月经周期。
yonghongchen 离线
Inactive endometrium with tubal metaplasia and ?stromal breakdown. The clear cells are peg cells in tubal metaplasia. Some cells show cilia. I don't see miotoses in glands or stroma, cannot call it proliferative. No cytoplasmic secretory vacuoles---not early secretory phase; glands are small and tubular without abundan luminal secretion and no stromal edema---not mid secretroy; no spiral arterieoles and stroma not predecidualized---not late secretory. Secretory phase has distinct morphologic features depending on which day(s) of the secretory phase (also called luteal phase, post-ovulatory phase)
This kind of endometrium is common in perimanopausal women. Tubal metaplasia is usually caused by persistent estrogen stimulation, she probably hasn't ovulated for more than a cycle.
aaa_198395 离线
yonghongchen 离线