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经朋友介绍,M来到妇科诊室,她悄悄告诉我,一段时间以来,房事后总有少量阴道出血,不知是不是病。我告诉她,这是妇科疾病的一个重要“信息”,医学上称之为“接触性出血”,不可小视。这种情况多见于子宫颈炎症、糜烂、息肉、尖锐湿疣、子宫颈癌前病变以及子宫颈癌,必须尽快进行检查,以便明确诊断。她接受了我的建议,陆续做了一些必要的检查,如妇科内诊、宫颈细胞刮片、分段诊刮,阴道镜下观察宫颈形态,并取以活组织病检。两天后,细胞学检查结果回报:宫颈脱落细胞可见中度~重度核异质细胞。病理学检查报告:子宫颈鳞状上皮细胞重度非典型增生,癌变不除外。M紧张极了,惶惶不可终日,于是,我抽出足够的时间和她谈了有关子宫颈病变的一些知识——
Introduced by a friend, M came to the gynecology clinic, she quietly told me that for some time, there is always a small amount of vaginal bleeding after sex, I do not know is not a disease. I told her that this is an important “information” of gynecological diseases, which is medically referred to as “contact bleeding” and should not be underestimated. This condition more common in cervical inflammation, erosion, polyps, genital warts, cervical precancerous lesions and cervical cancer, must be inspected as soon as possible in order to confirm the diagnosis. She accepted my advice, one after another to do some of the necessary checks, such as gynecological clinic, cervical cell scraping, sub-curettage, colposcopy cervical morphology, and take biopsy. Two days later, cytology results return: cervical exfoliated cells can be seen moderate to severe nuclear allogeneic cells. Pathological examination report: Cervical squamous cell severe atypical hyperplasia, cancer is not excluded. M nervous, anxious day, so I took enough time to talk with her some knowledge about cervical lesions -