LIQUID- BASED CYTOLOGY 液基薄層凃片

 

好的，这是对这份妇科细胞学筛查报告的中文详细解释。

### 总体总结

**这是一份完全正常、令人放心的宫颈抹片（巴氏涂片）检查结果。报告显示没有癌症、癌前病变或感染的迹象。**

以下是每个部分的具体解读：

*   **检验结果分类：在正常范围内**

    *   **含义：** 从您的宫颈收集的细胞看起来完全正常。

*   **细胞项目：**

    *   **满意，可供评估：** 样本中的细胞数量足够，实验室能够给出可靠的评估。

    *   **未见异常细胞或恶性细胞：** **这是最重要的发现。** 这意味着**没有发现癌前病变细胞或癌细胞**。

    *   **未见宫颈管内膜细胞及/或化生细胞：** 样本中没有采集到来自宫颈管的细胞。虽然采集到这些细胞最为理想，但在其他结果都正常的情况下，没采集到也很常见，尤其是在结合下一条注释（萎缩）看时，通常无需担心。

*   **微生物项目：** 未发现**滴虫**或**念珠菌**等常见感染的证据。

*   **病毒项目：** 在细胞中未发现**疱疹**或**人乳头瘤病毒**感染的迹象。这是一个非常好的信号。

### 关键点：注释部分

*   **注释及建议：** **“表皮细胞萎缩”**

    *   **含义：** 这描述的是一种**与年龄相关的正常细胞变化**，通常与**雌激素水平较低**有关。常见于以下情况的女性：

        *   绝经后。

        *   哺乳期。

        *   使用某些药物。

    *   **这本身并不是一种疾病或癌症迹象。** 它仅表示由于激素变化，细胞看起来比正常情况更薄、更不饱满。

### 结论与建议

*   **结果：** **正常。**

*   **需要采取的行动：** **就宫颈筛查而言，无需任何进一步操作。** 此结果并不意味着您需要接受阴道镜等进一步检查。

*   **后续步骤：** 您应该按照医生或当地卫生指南的建议（例如，每3年一次）继续进行常规筛查。

**但是，** 如果您正经历阴道干涩、刺激或疼痛等症状，报告中提到的“萎缩”可能与此相关。建议您在下次例行就诊时，**将这个发现与您的医生讨论**。如果萎缩引起了任何不适，他们可以提供建议或治疗方案。

**免责声明：** 此解释仅用于提供信息。请务必与您的医生直接讨论您的医疗报告，以获取个性化的专业建议。

I've reviewed the attached Gynaecologic Cytology Screening Report (result.jpeg). Here is a clear explanation of the results.

### Overall Summary

**This is a completely normal and reassuring Pap smear (cervical screening) result. It shows no signs of cancer, pre-cancer, or infection.**

Here is a breakdown of each section:

*   **General Categorization (檢驗結果分類):** **Within Normal Limits**

    *   **Meaning:** The cells collected from your cervix appear entirely normal.

*   **Cellular Description (細胞項目):**

    *   **Satisfactory for evaluation:** The sample contained enough cells for the lab to give a reliable assessment.

    *   **No Dyskaryotic or Malignant Cells are seen:** **This is the most important finding.** It means there are **no pre-cancerous or cancerous cells** present.

    *   **No Endocervical cells...are seen:** The sample did not contain cells from the cervical canal. While their presence is ideal, their absence in an otherwise normal smear is common and not a cause for concern, especially in the context of the next finding.

*   **Microorganisms (微生物項目):** No evidence of common infections like **Trichomonas** (a parasite) or **Monilia** (a yeast/fungal infection) was found.

*   **Viral Changes (病毒項目):** No evidence of **Herpes** or **HPV (Human Papillomavirus)** infection was seen in the cells. This is a very good sign.

### Key Point: The Comment Section

*   **Comments and Recommendations (註釋及建議):** **"Atrophic smear pattern. 表皮細胞萎縮"**

    *   **Meaning:** This describes a **normal, age-related change** in the cervical cells, typically associated with **lower estrogen levels**. It is most commonly seen in women who are:

        *   Post-menopausal.

        *   Breastfeeding.

        *   Using certain medications.

    *   **This is NOT a disease or a sign of cancer.** It simply means the cells appear thinner and less plump due to hormonal changes. The phrase "epidermal cell atrophy" is another way of stating this finding.

### Conclusion and Recommendation

*   **Result:** **Normal.**

*   **Action Required:** **None, for cervical screening.** This result does not indicate any need for further testing like a colposcopy.

*   **Next Step:** You should continue with routine screening as recommended by your doctor or local health guidelines (e.g., every 3 years).

**However,** if you are experiencing symptoms like vaginal dryness, irritation, or pain, the "atrophic pattern" noted might be related. It would be a good idea to **discuss this finding with your doctor** at your next routine visit. They can provide advice or treatment options if the atrophy is causing any discomfort.

**Disclaimer:** This explanation is for informational purposes only. Always discuss your medical reports directly with your healthcare provider for personalized advice.

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