子宫内膜 - 华夏病理网论坛

稻香满天离线: 帖子：71; 粉蓝豆：23; 经验：96; 注册时间：2008-03-17; 加关注 | 发消息

楼主发表于 2008-08-15 17:04|举报|关注(0)
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姓名：	×××	性别：	女	年龄：	37岁
标本名称：	子宫内膜
简要病史：	阴道不规则出血13天
肉眼检查：

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cqzhao 离线: 帖子：5518; 粉蓝豆：1071; 经验：5755; 注册时间：2008-09-29; 加关注 | 发消息

21 楼发表于2008-10-05 09:00:00举报|引用
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Cannot see the lesion in lower power. feel it may be a benign endometrial polyp with focal secretory change- functional endometrial polyp. I once asked Dr. Kurman the question. If endometrial polys show complex hyperplasia without atypia, you do not need to mention the complex hyperplasia. The terminology complex hyperplasia may scare the physicians or patients. Follow-up data show CH without atypia in polys with no affect to the prognosis. Just report endometrial polyp. However you have to report it if the nuclear atypia is present. Do not matter it is simple hyperplasia or no hyperplasia.

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wy1992 在线: 帖子：4858; 粉蓝豆：1; 经验：7320; 注册时间：2007-06-30; 加关注 | 发消息

22 楼发表于2008-10-05 09:10:00举报|引用
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以下是引用cqzhao在2008-10-5 9:00:00的发言：

Cannot see the lesion in lower power. feel it may be a benign endometrial polyp with focal secretory change- functional endometrial polyp. I once asked Dr. Kurman the question. If endometrial polys show complex hyperplasia without atypia, you do not need to mention the complex hyperplasia. The terminology complex hyperplasia may scare the physicians or patients. Follow-up data show CH without atypia in polys with no affect to the prognosis. Just report endometrial polyp. However you have to report it if the nuclear atypia is present. Do not matter it is simple hyperplasia or no hyperplasia.

Thanks for your analysis!