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- B1264请教：够不够宫颈微小浸润性鳞状细胞癌？
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| 姓 名： | ××× | 性别： | 年龄： | ３７岁 | |
| 标本名称： | 子宫全切标本 | ||||
| 简要病史： | 宫颈活检ＣＩＮⅡ-Ⅲ | ||||
| 肉眼检查： | |||||
标签：宫颈 原位癌
- 学而不思则罔，思而不学则殆。
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×参考诊断
宫颈原位癌累及腺体，点状区见微小早期浸润
| 以下是引用mingfuyu在2008-7-1 8:05:00的发言：
My opinion: CIN 2/3 with endoglandular gland involvement. 2 photos show irregular outer contour but without any desmoplastic or inflammatory response, so i am not sure about invasion. Photo 1 and 2: the nests of squamous cells don't show typical high grade nuclear features with diskeratotic or parakeratotic cells in the lumen, suspicious for ectopic prostatic tissue with squamous metaplasia in cervix. If you really want to know for sure, this lesion is PSA positive. But it doesnt matter in this case because we have for sure CIN2/3 involving glands in other photos. When you have ectopic prostatic tissue with squamous met only, be very careful not to call them dysplasia. Please note that my opinion here is only for exchange purpose. My interpretation is very limited by not able to examine the entire slides and other factors. In real life, i am quite definitive in my diagnoses. Otherwise, i will get nasty phone calls from my clinicians. |
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jiangxiaoyu 离线
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My opinion: CIN 2/3 with endoglandular gland involvement. 2 photos show irregular outer contour but without any desmoplastic or inflammatory response, so i am not sure about invasion. Photo 1 and 2: the nests of squamous cells don't show typical high grade nuclear features with diskeratotic or parakeratotic cells in the lumen, suspicious for ectopic prostatic tissue with squamous metaplasia in cervix. If you really want to know for sure, this lesion is PSA positive. But it doesnt matter in this case because we have for sure CIN2/3 involving glands in other photos. When you have ectopic prostatic tissue with squamous met only, be very careful not to call them dysplasia.
Please note that my opinion here is only for exchange purpose. My interpretation is very limited by not able to examine the entire slides and other factors. In real life, i am quite definitive in my diagnoses. Otherwise, i will get nasty phone calls from my clinicians.
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liguoxia71 离线
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