Discussion: While it is true that parabasal atrophy is present the glandular cells described above are the important finding. ASC-H and HSIL are in the differential of small hyperchromatic groups, but closer inspection in this case confirms glandular not squamous origin. The morphology in this case is consistent with endometrial origin. Endometrial cells must always be reported in women over 40. In younger women the decision to report endometrial type cells is based on the morphology of the cells and the menstrual history. In this case the patient was post-menopausal and experiencing vaginal bleeding. Follow-up endometrial curretage revealed well-differentiated (FIGO grade 1) endometrial carcinoma.

支持用百度翻译

我也来一次笑而不语 

 也许是习惯问题,我总认为这个图片太小,确实看不清楚.

一是需要把团看清楚,二是需要把非团看清楚.现在的情况是,两者都看不清楚.

既然看不清楚,怎么整都不太恰当.

这是我要表达的中心思想.

 
Cytopathology: Several glandular fragments are identified. The glandular cells are small and form 3-dimensional structures. The cells are relatively well preserved and some of the cells appear to have neutrophils present in the cytoplasm. The background squamous cells show atrophic changes.

我也是新手，多指教，我觉得这个人60岁，就看这张图NILM，如果片子中好多这种细胞团，我会打个ASC-US。

应该是鳞 ，先报hsil

我几乎没发过腺的病变，进修时老师发得也很少。

 子宫内膜样细胞？60岁，继续检查，错过怕误事

 这一团貌似来源有点远，60岁无论如何不发NILM，告知临床，先做B超筛查吧

 倍数太低,看不清楚.

 一团腺癌细胞？

 NILM。

这个难整了，倍数较低。