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病例信息性别: | 女 | 年龄: | 63 |
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临床诊断: | |
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一般病史: | 停经10年,阴道流血不规则,流血1年,宫颈高级别上皮内瘤变 |
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标本名称: | |
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大体所见: | |
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![1](https://a1.cdn.91360.com/bbsattachment/forum/201608/12/155311dfj3j24oil9php05.jpg.thumb.jpg) 1 ![2](https://a1.cdn.91360.com/bbsattachment/forum/201608/12/155315pxqiqcix6q9199jq.jpg.thumb.jpg) 2 ![3](https://a1.cdn.91360.com/bbsattachment/forum/201608/12/155319lqva0dvavglvq55z.jpg.thumb.jpg) 3 ![4](https://a1.cdn.91360.com/bbsattachment/forum/201608/12/155344r64oi6q8u9pdqddd.jpg.thumb.jpg) 4 ![5](https://a1.cdn.91360.com/bbsattachment/forum/201608/12/155348phj981w89nxe9pjx.jpg.thumb.jpg) 5 ![6](https://a1.cdn.91360.com/bbsattachment/forum/201608/12/155352h12v9g2ccvj292q4.jpg.thumb.jpg) 6 ![7](https://a1.cdn.91360.com/bbsattachment/forum/201608/12/155356w783po31zfpuf46x.jpg.thumb.jpg) 7 ![8](https://a1.cdn.91360.com/bbsattachment/forum/201608/12/155401gdlvl026qye5una9.jpg.thumb.jpg) 8 ![9](https://a1.cdn.91360.com/bbsattachment/forum/201608/12/155405qjdef5eda73fdkzv.jpg.thumb.jpg) 9 ![10](https://a1.cdn.91360.com/bbsattachment/forum/201608/12/155410c433d9tc5yc44942.jpg.thumb.jpg) 10 ![11](https://a1.cdn.91360.com/bbsattachment/forum/201608/12/155414mtzgt7totwosxiic.jpg.thumb.jpg) 11 ![12](https://a1.cdn.91360.com/bbsattachment/forum/201608/12/155418sfsm0om4unso43uh.jpg.thumb.jpg) 12 ![13](https://a1.cdn.91360.com/bbsattachment/forum/201608/12/155423bipgsygr88pgydgy.jpg.thumb.jpg) 13 ![14](https://a1.cdn.91360.com/bbsattachment/forum/201608/12/155428fv666s77zvbf36y3.jpg.thumb.jpg) 14 ![15](https://a1.cdn.91360.com/bbsattachment/forum/201608/12/155434vgiqcdzcc13n11a9.jpg.thumb.jpg) 15 ![16](https://a1.cdn.91360.com/bbsattachment/forum/201608/12/155439qyjsasd5spavz74f.jpg.thumb.jpg) 16 ![17](https://a1.cdn.91360.com/bbsattachment/forum/201608/12/155443zjrde0yynyddjddd.jpg.thumb.jpg) 17 ![18](https://a1.cdn.91360.com/bbsattachment/forum/201608/12/155448tjaa5xsomz4cfvua.jpg.thumb.jpg) 18 ![19](https://a1.cdn.91360.com/bbsattachment/forum/201608/12/155453thjzcnoj3ohj9jfo.jpg.thumb.jpg) 19 ![20](https://a1.cdn.91360.com/bbsattachment/forum/201608/12/155500e6ooqh3jgh6p33k6.jpg.thumb.jpg) 20 ![21](https://a1.cdn.91360.com/bbsattachment/forum/201608/12/155507ueimllws073159ul.jpg.thumb.jpg) 21 ![22](https://a1.cdn.91360.com/bbsattachment/forum/201608/12/155512v8viqw08bgii8zez.jpg.thumb.jpg) 22 ![23](https://a1.cdn.91360.com/bbsattachment/forum/201608/12/155517y0fg4br22h722r04.jpg.thumb.jpg) 23
本帖最后由 飞鸟 于 2016-8-12 17:06 编辑
桂林市中医院 唐瑞骏
请老师们看个病例:62岁女性,停经10年,阴道流血不规则流血1年!分段诊挂:宫颈是高级别上皮内瘤变!现在是宫颈锥切。
小敏
CIN3累腺,好像还伴有微浸和LVSI,做个D2-40
桂林市中医院 唐瑞骏
就是在纠结是累腺还是微侵
清新区人民医院小谢
浸润了都
桂林市中医院 唐瑞骏
那微浸润是不是都打不住了
清新区人民医院小谢
脉管都有了
桂林市中医院 唐瑞骏
图一的最远距离都超过一个低倍镜视野了,老师说的脉管是图17吗?
清新区人民医院小谢
我也是新手,还是请大师们出来说几句吧
桂林市中医院 唐瑞骏
老师分析的很好,我是新手,报告没有人把关,心里没底
中山大学孙逸仙纪念医院李海刚
淋巴管内癌栓
桂林市中医院 唐瑞骏
最右上角的?还是最大的?没有d2-40
中山大学孙逸仙纪念医院李海刚
@桂林市中医院 唐瑞骏 三个都是
桂林市中医院 唐瑞骏
谢谢老师@中山大学孙逸仙纪念医院李海刚 @清新区人民医院小谢 @小敏
莲子
浸润性癌
海鸥
@莲子 同意
桂林市中医院 唐瑞骏
那切缘阴性也是要在报告中提示吧。很少遇到锥切,还是有问题的锥切,心理有点打鼓
莲子
锥切必须报切緣,切緣基底
桂林市中医院 唐瑞骏
恩,谢谢老师!
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