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- 这是HPV吗?
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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.
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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.
| 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?
"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?
body>h1>span>...................This signature is very handsome.
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