这一例讨论的焦点是诊断标准，对吧？癌的绝对诊断标准是浸润，对吧？浸润包括肌层浸润和间质浸润，对吧？如果间质存在，没有见到肌层浸润…… 

诊刮标本诊断癌，大多数情况下其实是一种推测，推测手术标本中存在浸润的可能性。由此产生除了浸润以外的诊断标准。

……

癌的绝对诊断标准是浸润，对吧

甲状腺乳头状癌的绝对标准就不是浸润。

 Not cancer yet!  Whenever you see stroma in between glands, it is not cancer yet!  You must see  an relatively large area of glands without stroma in between to call it cancer.  Two glands without stroma in between is not cancer. Inflammatory cells has nothing to do with cancer.  You see neutrophils all the time with stromal and epithelial breakdown, not even infection!  Those cells are very atypical, some people may call this EIN-endometrial intraepithelial neoplasia, something like a mini cancer.  I would call it complex hyperplasia with severe cytologic atypia.  I would suggest a formal dilatation and curettage( if this is only a biopsy) to rule out carcinoma, and also recommend vigirous treatment and close follow-up.

Sorry i type chinese very slowly and also not familiar with the chinese versions of some terminology.

 回26，27 楼：子宫内膜癌的诊断标准不是侵温(sorry),很难说清，需要实例。

 大体手术全子宫切除后内膜图片:

最后诊断:子宫内膜嗜伊红细胞化生,伴非典型性增生.

非典型增生伴嗜酸性化生.楼上的老师观点非常好!可以作为判别标准:

复合性增生伴非典型增生.

 很欣赏大家的热情和学识！本人观点：非典型复杂增生，但离癌不远了。一定要治疗（有时孕激素类效果很好）和严密随访。一定要和妇产科医生通气，病人可不能一去不复返，一年半载不看医生。做宫切都不为过。