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- 女，38岁，子宫内容物
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部分腺体显示旺盛的分泌及A-S反应，图10、11间质中似有核大异型的细胞。妊娠滋养细胞能排除吗？图片上看不清，建议染下CK.
具体临床表现不清楚，“不规则阴道流血”之前有无停经史？“末次月经”是否是“不规则流血”的一部分？
- If you have great talents, industry will improve them; if you have but moderate abilities, industry will supply their deficiency. 如果你很有天赋，勤勉会使其更加完美；如果你能力一般，勤勉会补足其缺陷。
Is she postmenapausal (LMP '05? I suppose the biopsy was done in '08). Do you see mitosis in the glandular epithelium? I am trying to decide if this is abnormal secretory endometrium (epithelium should show columnar cells without mitoses) or complex hyperplasia (proliferative epithelium with mitoses) with mucinous metaplasia. Pic 9 shows mucinous epithelium. It is always worrisome to see mucinous metaplasia in endometrium. Pic 8 is a kind of artifact called telescoping which often happens during secretory phase. Negative for atypical hyperplasia or malignancy. I think of abnormal secretory endometrium because i see secretion in the lumen but cannot assign a date. Pic 10 shows predecidua-like changes, maybe progesterone treatment effect or she is truely at late secretory phase. Difficult.
