The disease must be differentiated from the following diseases:
A bleeding after menopause should first be alert to whether the cancer despite the progress with postmenopausal bleeding in the proportion of cancer have significantly decreased as Knitis 40 reports, such as vaginal bleeding after the menopause in malignant diseases accounted for 60 to 80 per cent of the 1970s-long to 25 ~ 40% of the 1980s has dropped to 6 to 7 percent of domestic-wide should be reported, such as the 1960s, malignant diseases of endometrial cancer accounted for 76.2 percent of malignant disease 12.9 percent at the end of .80 Huang He-feng, and other reports accounted for 22.7 percent of malignant disease and endometrial cancer cases of malignant 45.5 percent of cervical cancer accounted for 43.6 percent Ying, and other reports accounted for 24.9 percent of malignant disease (benign accounted for 73.3%) Habitat postmenopausal bleeding from the first two post-menopausal period of five years of menopause to see 14% of postmenopausal women are 5 to 15 accounted for 68.3 percent foreseeable In malignant tumors with the progress of endometrial cancer of a rising trend of the Huang He-feng reports even more than a case of cervical cancer in postmenopausal bleeding and extent of cancer may not necessarily proportional to the amount of bleeding is little more than the number of haemorrhagic disease and cancer may have Obviously it should be done carefully vaginal gynaecological examinations to identify whether the annex of uterine cervix abnormal situation exists because there may be two or more diseases at the same time there exist such as senile vaginitis have endometrial cancer at the same time it must not be because of a disease have been found In addition to the neglect of further examination, cytology Sub blowing up is indispensable for checkups steps because of the diagnostic curettage of endometrial cancer diagnosis rate was 95 percent, domestic 10-Weiya reported 448 cases of postmenopausal bleeding consultation scraping the uterus Endometrial which accounted for 11.4 percent endometrial cancer (51 cases)-Qidong, and other reports to 8.7 percent of the reported 1.7 to 46.6 percent from 15 percent in general are the following
The dysfunctional uterine bleeding menopause often in menstrual bleeding disorder in particular, more frequent, regardless of whether the normal size of the uterus must first be done after consultation scraping clear the nature of treatment of endometrial cancer born in the early growth period and even fertility of women in Shandong Province Hospitals have different endometrial cancer patients only 26 years after more than three years, according to the functions of the treatment of uterine bleeding invalid scraping confirmed to be attending the final of endometrial cancer so young women irregular uterine bleeding for two to three months are also invalid Should be identified in consultation scratch
3 endometrial dysplasia more common in women of childbearing age endometrial severe dysplasia in the form of organization on the sometimes difficult and well-differentiated adenocarcinoma identification is usually not typical of endometrial hyperplasia pathology can be expressed as a focal crushed The normal epithelial cells better or visible fat squamous metaplasia with lotus paste color and other non-invasive necrosis performance of endometrial adenocarcinoma of the cancer cell nuclear chromatin more deeply into nuclear fission and more bad cells less often in the cytoplasm Necrosis and infiltration with well-differentiated in the early identification of endometrial adenocarcinoma:
① dysplasia often have a complete surface epithelium and cancer to see if it is not a more complete flattening the surface epithelium or can be excluded endometrial adenocarcinoma In addition endometrial adenocarcinoma often necrosis bleeding;
② response to different drug treatment dysplasia are too small dose that is effective and sustained long slow withdrawal may soon once the recurrence;
③ age: the young are more consideration dysplasia challenger who is more likely to consider endometrial adenocarcinoma
4 submucosal uterine or endometrial polyps osteoma more performance or excessive menstrual periods or bleeding at the same time can be extended with vaginal discharge liquid or bloody discharge and clinical performance of endometrial cancer is very similar to the uterine cavity through the exploration sub-curettage uterine lipiodol Contrast or hysteroscopy can make differential diagnosis
Five of cervical cancer and endometrial cancer the same performance as irregular vaginal bleeding and ranked as number of pathological examination for squamous cell carcinoma is considered to come from cervical adenocarcinoma were identified as the source would be difficult to find such as mucus glands are the primary In the neck of the possibility of Japan Okudaira, such as that in invasive cervical adenocarcinoma in the carcinoembryonic antigen (CEA), the positive result for the high rate of CEA immunohistochemical staining of cervical cancer and contribute to the identification of endometrial
6 primary fallopian tube cancer vaginal discharge of vaginal bleeding and abdominal pain under the vaginal smear may find cancer and endometrial cancer and fallopian tube cancer similar to the negative Gongpang endometrial biopsy may be different from the palpable tumors such as endometrial cancer package Small pieces and palpation were not confirmed by laparoscopy
Seven elderly uterine mucositis merger intrauterine pyonephrosis Changbiaoxianwei Nongye bloody vaginal discharge or Nongxue of the row of the uterus increased more than softened by B and then check from the expansion of the Palais cancer only inflammatory infiltration organizations often uterine pyonephrosis And the cervical cancer or endometrial cancer identification must pay attention to co-exist
A bleeding after menopause should first be alert to whether the cancer despite the progress with postmenopausal bleeding in the proportion of cancer have significantly decreased as Knitis 40 reports, such as vaginal bleeding after the menopause in malignant diseases accounted for 60 to 80 per cent of the 1970s-long to 25 ~ 40% of the 1980s has dropped to 6 to 7 percent of domestic-wide should be reported, such as the 1960s, malignant diseases of endometrial cancer accounted for 76.2 percent of malignant disease 12.9 percent at the end of .80 Huang He-feng, and other reports accounted for 22.7 percent of malignant disease and endometrial cancer cases of malignant 45.5 percent of cervical cancer accounted for 43.6 percent Ying, and other reports accounted for 24.9 percent of malignant disease (benign accounted for 73.3%) Habitat postmenopausal bleeding from the first two post-menopausal period of five years of menopause to see 14% of postmenopausal women are 5 to 15 accounted for 68.3 percent foreseeable In malignant tumors with the progress of endometrial cancer of a rising trend of the Huang He-feng reports even more than a case of cervical cancer in postmenopausal bleeding and extent of cancer may not necessarily proportional to the amount of bleeding is little more than the number of haemorrhagic disease and cancer may have Obviously it should be done carefully vaginal gynaecological examinations to identify whether the annex of uterine cervix abnormal situation exists because there may be two or more diseases at the same time there exist such as senile vaginitis have endometrial cancer at the same time it must not be because of a disease have been found In addition to the neglect of further examination, cytology Sub blowing up is indispensable for checkups steps because of the diagnostic curettage of endometrial cancer diagnosis rate was 95 percent, domestic 10-Weiya reported 448 cases of postmenopausal bleeding consultation scraping the uterus Endometrial which accounted for 11.4 percent endometrial cancer (51 cases)-Qidong, and other reports to 8.7 percent of the reported 1.7 to 46.6 percent from 15 percent in general are the following
The dysfunctional uterine bleeding menopause often in menstrual bleeding disorder in particular, more frequent, regardless of whether the normal size of the uterus must first be done after consultation scraping clear the nature of treatment of endometrial cancer born in the early growth period and even fertility of women in Shandong Province Hospitals have different endometrial cancer patients only 26 years after more than three years, according to the functions of the treatment of uterine bleeding invalid scraping confirmed to be attending the final of endometrial cancer so young women irregular uterine bleeding for two to three months are also invalid Should be identified in consultation scratch
3 endometrial dysplasia more common in women of childbearing age endometrial severe dysplasia in the form of organization on the sometimes difficult and well-differentiated adenocarcinoma identification is usually not typical of endometrial hyperplasia pathology can be expressed as a focal crushed The normal epithelial cells better or visible fat squamous metaplasia with lotus paste color and other non-invasive necrosis performance of endometrial adenocarcinoma of the cancer cell nuclear chromatin more deeply into nuclear fission and more bad cells less often in the cytoplasm Necrosis and infiltration with well-differentiated in the early identification of endometrial adenocarcinoma:
① dysplasia often have a complete surface epithelium and cancer to see if it is not a more complete flattening the surface epithelium or can be excluded endometrial adenocarcinoma In addition endometrial adenocarcinoma often necrosis bleeding;
② response to different drug treatment dysplasia are too small dose that is effective and sustained long slow withdrawal may soon once the recurrence;
③ age: the young are more consideration dysplasia challenger who is more likely to consider endometrial adenocarcinoma
4 submucosal uterine or endometrial polyps osteoma more performance or excessive menstrual periods or bleeding at the same time can be extended with vaginal discharge liquid or bloody discharge and clinical performance of endometrial cancer is very similar to the uterine cavity through the exploration sub-curettage uterine lipiodol Contrast or hysteroscopy can make differential diagnosis
Five of cervical cancer and endometrial cancer the same performance as irregular vaginal bleeding and ranked as number of pathological examination for squamous cell carcinoma is considered to come from cervical adenocarcinoma were identified as the source would be difficult to find such as mucus glands are the primary In the neck of the possibility of Japan Okudaira, such as that in invasive cervical adenocarcinoma in the carcinoembryonic antigen (CEA), the positive result for the high rate of CEA immunohistochemical staining of cervical cancer and contribute to the identification of endometrial
6 primary fallopian tube cancer vaginal discharge of vaginal bleeding and abdominal pain under the vaginal smear may find cancer and endometrial cancer and fallopian tube cancer similar to the negative Gongpang endometrial biopsy may be different from the palpable tumors such as endometrial cancer package Small pieces and palpation were not confirmed by laparoscopy
Seven elderly uterine mucositis merger intrauterine pyonephrosis Changbiaoxianwei Nongye bloody vaginal discharge or Nongxue of the row of the uterus increased more than softened by B and then check from the expansion of the Palais cancer only inflammatory infiltration organizations often uterine pyonephrosis And the cervical cancer or endometrial cancer identification must pay attention to co-exist
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