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≥40岁妇女宫颈细胞学检查中检出子宫内膜细胞：正确的子宫内膜评估标准
Endometrial cells identified in cervical cytology in women ≥40 years of age: criteria for appropriate endometrial evaluation
Beal HN, Stone J, Beckmann MJ  2009/5/27 10:50:39 
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Am J Obstet Gynecol, 2007,
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Abstract

Objective:

No consensus exists regarding evaluation of asymptomatic premenopausal women with benign endometrial cells (BECs) identified on cervical cytology. We determined the frequency of uterine pathology in asymptomatic women, ≥40 years of age, positive for BECs on cervical cytology.

Study Design:

Cervical cytopathology records from a Midwestern US teaching hospital from April 2002 through December 2005 were reviewed and cases with BECs identified. Patient age, symptomatology, and endometrial sampling results were obtained.

Results:

Of 194,717 records examined, 1784 (0.9%) of women ≥40 years had BECs present and 440 had follow-up endometrial pathology. There were 4 cases of complex hyperplasia with atypia, 2 from patients ≤50 years, 1 was asymptomatic; 4 cases of adenocarcinoma were identified, all from women >50 years.

Conclusion:

To date, the present study is among the largest follow-up studies of women with BECs on cervical cytology. Follow-up endometrial sampling may not be indicated in asymptomatic patients ≤50 years.
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甲状腺功能亢进合并黄疸

 王燕燕 王曙

上海交通大学附属瑞金医院内分泌科

患者，女，69岁。2009年1月无明显诱因下出现乏力，当时程度较轻，未予以重视。2009年3月患者乏力症状加重，尿色逐渐加深，大便习惯改变，颜色变淡。4月18日入我院感染科治疗，诉轻度头晕、心慌，体重减轻10kg。无肝区疼痛，无发热，无腹痛、腹泻、腹胀、里急后重，无恶性、呕吐等。入院半月前于外院就诊，查肝功能：ALT 601IU/L，AST 785IU/L，TBIL 97.7umol/L，白蛋白 41g/L，甲状腺功能：游离T3 30.6pmol/L，游离T4 51.9pmol/L，心电图示快速房颤。
 

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