我看大部分是化生。 上皮有异型，但是直接诊断癌，我不敢。 
| 图片： | |
|---|---|
| 名称： | |
| 描述： | |
- 请问各位老师，这个宫颈腺体是否有问题？
-
wangdingding 离线
- 帖子：1474
- 粉蓝豆：98
- 经验：6042
- 注册时间：2006-10-19
- 加关注 | 发消息
| 以下是引用全子在2010-5-7 21:47:00的发言： 不好说,可能只是微腺体增生,但是低倍图太少了,没有结构关系不敢说 |
Agree. Feel it is a benign.
If you are not sure, stain Ki67 and P16. In most high grade squamous lesions or cervical AIS or adenocarcinoma both markers are strongly and difusely positive (ki67-nuclei).
If both are negative or scattered positive,the chance of high grade cervical lesions (both squamous or galndular) are extramely low.
-
现有图片里，虽然有的视野（有的腺体）像微腺性增生，但有的腺体并不“微小”，甚至是不规则扩张的，而且腺上皮细胞核有明显异型性。所以单从图片看，让人很不放心。因图片视野比较局限，希望多上传几张扫描倍数的图片，以便显示异常宫颈管内膜与宫颈管壁的关系。
- If you have great talents, industry will improve them; if you have but moderate abilities, industry will supply their deficiency. 如果你很有天赋，勤勉会使其更加完美；如果你能力一般，勤勉会补足其缺陷。
以下是引用cqzhao在2010-5-8 3:30:00的发言：
Agree. Feel it is a benign.
If you are not sure, stain Ki67 and P16. In most high grade squamous lesions or cervical AIS or adenocarcinoma both markers are strongly and difusely positive (ki67-nuclei). If both are negative or scattered positive,the chance of high grade cervical lesions (both squamous or galndular) are extramely low.
Agree. My impression is florid microglandular hyperplasia. I would do p16 and Ki-67. |
