德瑞梅 發問時間: 健康疾病與處置癌症 · 7 年前

請翻譯或解釋這篇病理組織檢查報告單好嗎?20點

臨床診斷 Cervical Dysplasia

病理診斷uterus ,cervix,LEEP cONIZATION,1)adenocarcinoma in-situ,2) severe dysplasia

uterus ,endocervix,curettage,severe dysplasia,present

檢查報告

the specimen submitted consists of two bottles labeled as (1)LEEP and (2)endocervix,respectively,fixed in formalin.

the bottle (1)consists of a fragmen of the conization specimen,measuring 2.1x1.9x1.3cm in size.

the12 o'clock direction was oriented by the surgeon with suture lines.

no gross tumor is found.

the bottle (2)consists of more than ten tissue fragments measuring up to 1x0.3x0.2cm in size. grossly,they are dark brown

and soft.

all for section and labeled as:A1-4:conization(A1:12 to 3 o'clock ,A2:3 to 6 o'clock ,A3: 6 to 9 o'clock ,A4: 9 to 12 o'clock ),B:endocervix

Microscopic Description

1)Adenocarcinoma in situ site:

right inferior quadrant (6 to 9 o'clock)

lesion size: Greatest dimension:0.2x0.1cm

2)Severe dysplasia lesion size

left superior quadrant (12 to 3 o'clock )

left inferior quadrant (3 to 6 o'clock)

right inferior quadrant (6 to 9 o'clock)

right superior quadrant (9 to 12 o'clock)

lesion :involved all the LEEP inner ring

margins

Endocervical margin

not involved by adenocarcinoma in situ or severe dysplasia

EXOCERVICAL MARGIN

involved by severe dysplasia carcinoma

specify location:3-6 and 6-9 o'clock

not involved by adenocarcinoma in situ

deep margin

not involved by adenocarcinoma in situ or severe dysplasia

lymph-vascular invasion: not identified

additional findings:

1. the adenocarcinoma in situ lesion is highlighted by Ki67 immunostain

2.fragmented severe dysplasia lesion present in section B labeled as "endocervical tissue"

3.the sections of severe dysplasia dysplasia displaying with hyperchromasia,increased nucleocytoplasmic

ratio,anisokaryosis, increased mitotic figures,and loss of surface differentiation. focal glandular involvement is noted.

reference:

s13-06998

squamous cell carcinoma

已更新項目:

我在8/13接受北醫劉醫師子宮頸圓錐切片後8/29收到這份報告醫生並沒有解釋太詳細

只告訴我要切除子宮和卵巢卻沒有告訴我倒底發生甚麼事?

第一個問題是 幫我們翻譯內文的意思為何?

第二個問題是 病理組織檢查報告單有蓋中文"原位癌"但是臨床診斷攔卻出現: Cervical Dysplasia 請問這是甚麼意思?我不是CIN3而是更嚴重的

CIS嗎?

第三個問題是 我真的只有一條選擇就是切除子宮和卵巢嗎?北醫劉偉民醫生是很權威的婦科醫生,我該怎麼辦?我才34歲阿!

有沒有專業醫師能夠幫我解答?

拜託幫幫忙吧!!

(這是我一字一字打出來的,可能有打錯字請見諒)

1 個解答

評分
  • 星塵
    Lv 7
    7 年前
    最佳解答

    簡單回答妳

    1

    不要線上網路翻譯因為不是原寫人的意思

    建議直接找原寫人問其意這樣才是正確的

    2

    同上的建議

    3

    我真的只有一條選擇就是切除子宮和卵巢嗎?北醫劉偉民醫生是很權威的婦科醫生,我該怎麼辦?

    這是專業西醫師給妳專業建議

    告訴妳[癌症]不可怕

    怕的是不願積極治療

    2013-09-17 23:26:41 補充:

    補充

    如不切除子宮和卵巢可改看中醫治療

    因為中醫也能治療[癌症腫瘤]

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