考虑为单纯型增生伴分泌反应可能。

 分泌期子宫内膜

 分泌期子宫内膜

 子宫内膜简单型增生过长伴有分泌

 The rule number one is that you will think harder when you make diagnosis of "hyperplasia" in a secretory phase of endomtrium. Secondly, you almost never make diagnosis of so-called 'simple hyperplasia" in a secretory endometrium. In a very rare situation, you can appreciate complex hyplerplasia with secretory change. But it is vanishingly rare! In photo 11, it shows that patient was treated with exogenous progestin, such as oral contracepive pills.

 翻译杨斌老师第6楼：

第一原则：将分泌期子宫内膜诊断“增生”要好好考虑一番。第二原则：几乎不要将分泌性子宫内膜诊断为所谓的“简单型增生”。罕见情形，可以评价复杂性增生伴分泌改变，但这也罕见得几乎消失了！图11，提示患者使用过外源性孕激素，如口服避孕药。

 

真诚地感谢杨斌老师的精彩分析点评！谢谢abin老师精细翻译！