Kashimura M, Baba S, Shinohara M, Kashimura Y, Saito T, Hachisuga T
Department of Obstetrics and Gynecology, University of Occupational and Environmental Health, Kitakyushu, Japan.
Acta Cytol. 1988 May-Jun;32(3):335-40.
The cytologic findings in 15 endometrial hyperplasias were compared with those of normal endometrium and well-differentiated endometrial adenocarcinoma. Differences in tumor diathesis, hypercellularity, uneven internuclear distance, severe piling up of nuclei, anisokaryosis, nuclear size and macronucleoli were the main cytologic findings that were noted among the three conditions. These features varied in the different types of endometrial hyperplasia. It is not clear that these cytologic findings can be used to cytologically diagnose endometrial hyperplasia because some of the findings involve subjective judgments by different cytologists. Further studies on larger series of cases will be necessary to establish the cytologic criteria for the correct interpretation of endometrial abnormalities.
将15例子宫内膜增生的细胞学发现与正常子宫内膜及高分化子宫内膜腺癌的细胞学发现进行了比较。肿瘤素质、细胞增多、核间距离不均、核严重堆积、核大小不等、核仁增大等差异是这三种情况中主要的细胞学发现。这些特征在不同类型的子宫内膜增生中有所不同。尚不清楚这些细胞学发现是否可用于子宫内膜增生的细胞学诊断,因为其中一些发现涉及不同细胞学家的主观判断。有必要对更多病例进行进一步研究,以建立正确解读子宫内膜异常的细胞学标准。