似曾相识……
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- 20100312-内膜
Basicaly there are two types of oppinions, CAH and 分泌型子宫内膜样腺癌. I think it is a very difficult case.
We can have a little more detailed discussion for learning purpose. Could some ones mention why you think it is a 分泌型子宫内膜样腺癌? Thanks,
also thank Dr. Zhang for sharing this case.
{Basicaly there are two types of oppinions, CAH and 分泌型子宫内膜样腺癌. I think it is a very difficult case.
We can have a little more detailed discussion for learning purpose. Could some ones mention why you think it is a 分泌型子宫内膜样腺癌? Thanks,
also thank Dr. Zhang for sharing this case. }
记得有次有位老师上课提到说子宫内膜癌的诊断不能靠细胞学，而主要是靠组织学，以下5种形态特征均提示：筛状、迷宫样/蜿蜒腺腔、绒毛状、相互挤压变形的腺体和实性的结构。
不知道按这个标准行不？
因为不是很清楚，所以提出来，希望老师指点指点，谢谢！
| 以下是引用whyy在2010-4-1 21:52:00的发言： 考虑符合高分化腺癌：① 腺体不规则浸润伴有间质反应。与正常增殖期内膜间质细胞的区别是细胞为梭形,胞浆红染,而增殖期间质细胞为卵圆形,胞浆空或嗜碱性。② 腺体融合,单个腺体之间无间质分隔,有的腺体上皮搭桥或“出芽”,有的表现为“背靠背”。WHO(2003年)提出一种以腺体拥挤融合、间质消失为特征的新的间质侵袭方式,称为扩张性侵袭。这一概念的引入可以减少Ⅰ型癌的漏诊。 |
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