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。

图片比较漂亮，这例子可能是常规工作中较常见、也较令人困惑的。既不是典型的增殖期或分泌期内膜，也不是增生症内膜。正像yumingfu老师所言，这是围绝经期最常见的内膜，有化生性改变（纤毛细胞）、有增生改变（核长圆形、假复层排列）、还有分泌改变（核圆形，排列稀疏、局部可以看到核下分泌空泡），又有出血。说明患者激素水平处于紊乱状态。

 Agree the women may have no ovulated cycle,激素水平处于紊乱状态 .

I would call disordered proliferative endometrium (DPE) with stromal breakdown.

 刮宫内膜组织常有，诊断却并不容易。

个人觉得不是分泌了。

 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.