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Most areas are atypical complex hyperplasia. A few foci show villoglandular pattern (for example photo #6) which is highly suggestive of a well diffentiated endometroid adeno. You should submit all the endometrium together with some myometrium. If no worse areas are identified, i would phrase like:
Small foci of well differentiated endometrial adenocarcinoma, endometroid type, arising in atypical complex hyperplasia.
8226; a confluent glandular pattern in which individual
glands, uninterrupted by stroma, merge and create a
cribriform pattern;
8226; an extensive papillary pattern; and
8226; an irregular infiltration of glands associated with an
altered fibroblastic stroma (desmoplastic stromal
response).
只要符合一个,即可诊断癌。
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