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姓 名: | ××× | 性别: | 女 | 年龄: | 37 |
标本名称: | 宫颈赘生物 | ||||
简要病史: | 发现宫颈赘生物一天 | ||||
肉眼检查: | 宫颈赘生物1*1*1厘米 |
朱正龙
以下是引用mingfuyu在2008-7-27 0:50:00的发言:
To my opinion, it is much more than condyloma accumulatum. It has the configuration of condyloma, like finger-like projections (figure 2 is cross-section of the fingers), high up blood vessels and koilocytes. But mitoses are very frequent and the last figure shows a mitotic figure almost on the surface. Nuclear atypia is also quite striking. Not very sure, but figure 4 appears to have an atypical mitosis; we call it tripod mitosis or Mercede Benz, if you like car. For this reason, i would report this as CIN 2. I wouldn't call this CIN 3 because i see squamous differentiation and there is still some cytoplasm. She needs a colposcopy and sampling of endocervical canal. Remember condylomas usually don't progress to cancer and CIN 2 has some chance to progress to cancer. Thanks. Thank you for your consultation of my case! |
朱正龙