共1页/1条首页上一页1下一页尾页
回复:10 阅读:2517
54 year old man with thickened gallbladder wall

stevenshen 离线

帖子:343
粉蓝豆:2
经验:343
注册时间:2008-06-03
加关注  |  发消息
楼主 发表于 2008-12-13 07:22|举报|关注(0)
浏览排序[ 顺序 逆序 楼主 支持 精彩 ]  快捷回复
姓    名: ××× 性别:  Male 年龄:  54
标本名称: Gallbladder 
简要病史:  
肉眼检查:

Diffusely thickened gallbladder wall

(1.5 cm) 

Frozen section diagnosis?

Differential diagnoses??

  • 54 year old man with thickened gallbladder wall图1
    图1
  • 54 year old man with thickened gallbladder wall图2
    图2
  • 54 year old man with thickened gallbladder wall图3
    图3
标签:
0
×参考诊断
Granulomatous cholecystitis

stevenshen 离线

帖子:343
粉蓝豆:2
经验:343
注册时间:2008-06-03
加关注  |  发消息
1 楼    发表于2008-12-20 08:44:00举报|引用
返回顶部 | 快捷回复
  • It is granulomatous cholecystitis...excellent diagnosis.  

  • I have seen a few such cases, on frozen section, it can be pretty tricky.

  • You might worry about lymphoma, sarcomatoid carcinoma, inflammatory pseudotumor or even sarcoma.
  • The key is to recognize 
    1. polymorphous population of inflammatory cells 
    2. recognize hitiocytes (granulomatous inflammation)
    3. lack of significant pleomorphism or mitoses 

    I hope Dr.月新 or csgcsg to comment on your experience.

0
回复
回复:10 阅读:2517
共1页/1条首页上一页1下一页尾页
【免责声明】讨论内容仅作学术交流之用,不作为诊疗依据,由此而引起的法律问题作者及本站不承担任何责任。
快速回复
进入高级回复
您最多可输入10000个汉字,按 "Ctrl" + "Enter" 直接发送
搜索回复/乘电梯 ×
按内容
按会员
乘电梯
合作伙伴
友情链接