本例我们没有看到切片，不了解导管内乳头状瘤的全貌.

It is good point. Here every one can say waht you want to and no one has any responsbility. Seeing photos and true slides are totally different for some cases especially for some debatable or borderline cases.

So internet is a good place for every to discussion. But the primary pathologists should only take the oppinion from here as your reference.

 Suggestion to young pathologists:

If you agree with 上级医院专家会诊diagnosis, you can sign out the case.  You should not sign out the case If you do not agree . You as primary pathologist will have the main responsibility if something is wrong in future. If you are not sure of the diagnosis made by 上级医院专家 , you can always  send to other pathologists for consultation.

 My feeling is that this case is overcall.

Consult diagnosis or expert diagnosis does not equal to the correct diagnosis.

是否过了些？

是否过了些？

本人意见：导管内乳头状瘤，UDH.

此例经会诊，已确诊.

I am not sure above conclusion.

My impression:

1.  Intraductal papilloma.

2. UDH

3 Fig 6: focal ADH? (debatable)

Of cause my above impression may be wrong only based on few photos in computer.

 保留个人观点，呵呵

谢谢提供会诊意见。