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患者女性,57岁。绝经12年,阴道流血18天,无腹部疼痛及发热症状。妇科检查:宫颈轻度糜烂,宫体略增大。B超示子宫体积增大,内膜增厚粗糙。临床怀疑子宫内膜癌,行刮宫检查。病理检查巨检:送检灰红色碎组织一堆,大小1 cm×0.6 cm×0.3 cm。镜检:子宫内膜表面部分见柱状上皮被覆,大部分宫内膜正常结构消失,内见大量单核细胞及巨噬细胞聚集,散在淋巴细胞、浆细胞及嗜中性粒细胞浸润,间质血管丰富;单核细胞及巨噬细胞胞质丰富、嗜酸性,细颗粒状
Patient female, 57 years old. Menopause 12 years, vaginal bleeding for 18 days, no abdominal pain and fever symptoms. Gynecological examination: mild cervical erosion, the palace slightly increased. B ultrasound shows the uterus increased volume, rough thickening of the intima. Clinical suspicion of endometrial cancer, curettage examination. Histopathological examination: sent to check a pile of gray and red broken tissue, the size of 1 cm × 0.6 cm × 0.3 cm. Microscopic examination: the surface of the endometrium see columnar epithelium covered most of the normal endometrial structure disappeared, see a large number of monocytes and macrophages within the accumulation of scattered lymphocytes, plasma cells and neutrophil infiltration, interstitial Rich blood vessels; monocytes and macrophages rich in cytoplasm, eosinophilic, fine granular