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- 这是HPV吗?
"HSIL并不完全都代表了癌前病变，也有少数HSIL活检是慢性炎。"
This is not a normal phenomenon．This may exist certain reasons．We don't think it is correct, because HSIL represents a premalignant lesion.Perhaps biopsy is not reliable.Do you agree with me?
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| 以下是引用巴山夜雨涨秋池在2010-7-5 9:13:00的发言：
"HSIL并不完全都代表了癌前病变，也有少数HSIL活检是慢性炎。" This is not a normal phenomenon．This may exist certain reasons．We don't think it is correct, because HSIL represents a premalignant lesion.Perhaps biopsy is not reliable.Do you agree with me? |
Yes! I agree with you!
Theoretically speaking, HSIL represents a premalignant lesion, actually, there are
not the same.
why?
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Generally, we need to have enough confidence HSIL diagnosis and the evidence, and can diagnose. Mean it affirms existence problem. But biopsy: no problem. It should consider most materials inadequate or lesions is limited. This may be one accident, do not represent HSIL was no problem for biopsy is normal phenomenon. I understand that the personal is, of course, is not correct.
body>h1>span>...................This signature is very handsome.
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本帖最后由 于 2010-07-06 10:55:00 编辑
| 以下是引用追逐太阳在2010-7-4 22:46:00的发言：
【细胞学】首先，胞浆的挖空典型，HPV感染时肯定的。我想强调的是，在核异型性不显著、不肯定的情况下，还是不要直接报LSIL。比如挖空肯定，但大小上还不到正常中层细胞核的2.5倍（无挖空的情况下是3倍达到LSIL判读标准）。 一句话，HPV是LSIL最主要的病因，但是HPV不等于LSIL。这个分水岭还是在核的异型性上。 |
太阳:Your oppinion is too old.
If you think 胞浆的挖空典型，HPV感染时肯定的, then it is LSIL.
I think the cytology of this case is a classic LSIL, classic 挖空cells.
No meaning to offend you. Just discuss the case.
| 以下是引用追逐太阳在2010-7-4 22:46:00的发言：
【细胞学】首先，胞浆的挖空典型，HPV感染时肯定的。我想强调的是，在核异型性不显著、不肯定的情况下，还是不要直接报LSIL。比如挖空肯定，但大小上还不到正常中层细胞核的2.5倍（无挖空的情况下是3倍达到LSIL判读标准）。 一句话，HPV是LSIL最主要的病因，但是HPV不等于LSIL。这个分水岭还是在核的异型性上。 |
一句话，HPV是LSIL最主要的病因，但是HPV不等于LSIL。这个分水岭还是在核的异型性上。
Agree with above.
In fact All sil are HPV related. Many people with HPV infect show no SIL cytologic feature.
But if you can identify the cells are HPV infected cells, they are LSIL cells.
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本帖最后由 于 2010-07-06 21:54:00 编辑
| 以下是引用cqzhao在2010-7-6 10:46:00的发言：
太阳:Your oppinion is too old. If you think 胞浆的挖空典型，HPV感染时肯定的, then it is LSIL. I think the cytology of this case is a classic LSIL, classic 挖空cells. No meaning to offend you. Just discuss the case.
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| 以下是引用cqzhao在2010-7-6 10:50:00的发言：
一句话，HPV是LSIL最主要的病因，但是HPV不等于LSIL。这个分水岭还是在核的异型性上。 Agree with above. In fact All sil are HPV related. Many people with HPV infect show no SIL cytologic feature. But if you can identify the cells are HPV infected cells, they are LSIL cells. |
| 以下是引用追逐太阳在2010-7-6 21:41:00的发言：
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In fact All sil are HPV related. Many people with HPV infect show no SIL cytologic feature.
But if you can identify the cells are HPV infected cells, they are LSIL cells.
实际上，所有的SIL病变都是HPV相关的。许多伴HPV感染者可没有SIL的细胞学特征
但是如果可以确定这些细胞是HPV感染的，那么它们就是LSIL细胞
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