，后再阅读大家讨论学习。
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| 名称： | |
| 描述： | |
- B1581Breast lesions cqz (12) (2-16-2009)
图1
图2
| 姓 名： | ××× | 性别： | 年龄： | ||
| 标本名称： | |||||
| 简要病史： | |||||
| 肉眼检查： | |||||
Breast core biopsy with 8 cores. There are multiple breast lesions. Try you diagnosis one by one.
Lesion 1 20x and 400x
标签：LCIS CCC FEA ADH 导管内乳头状肿瘤 放射状瘢痕
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本帖最后由 于 2009-03-19 23:29:00 编辑
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×参考诊断
| 以下是引用cqzhao在2009-4-9 12:21:00的发言：
My last four cases: Case 1 (floor 54) columinal cell change. Case 2-4: all these three cases were signed out by me as flat epithelial atypia (FEA). FEA is a debatable new term. Most general pathologists in the USA do not know this lesion well. Different pathologists can have different oppinion for the same lesion. This is fine if you do not agree above interpretation. Ok I will complete this topic today. Thank you for your reading or discussing these cases. cz |
译文：我最后的4个病例：
例1（54楼）：柱状细胞改变
例2-4：这3个病例我都发了扁平上皮不典型性（FEA）的诊断。
FEA是一个有争议的新名称。大多数美国普通病理医生对这个病变了解不深。不同的病理医生可能对这个病变意见不一。
如你不同意上面的解释也可以。好，今天我将结束这个话题。谢谢你们阅读或讨论了这些病例。
My last four cases:
Case 1 (floor 54) columinal cell change.
Case 2-4: all these three cases were signed out by me as flat epithelial atypia (FEA).
FEA is a debatable new term. Most general pathologists in the USA do not know this lesion well. Different pathologists can have different oppinion for the same lesion.
This is fine if you do not agree above interpretation.
Ok I will complete this topic today.
Thank you for your reading or discussing these cases.
cz
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Lesion 7 demostrates focal ductal epithelial cell proliferation with uniform size in the back ground of CCC or focal FEA. It is reasonable for diagnosis of ADH. The lesion does not meet the DCIS criteria by 2-3 mm or 2-3 ducts. Hope your guys will agree.
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本帖最后由 于 2009-03-20 02:28:00 编辑
| 以下是引用cqzhao在2009-2-17 9:21:00的发言：
Lesion 7 Fig 1 100x Fig 2-5 200x Fig 6 400x Hope you can appreciate three diagnoses (or three terms) in this focal area. |
There are some different oppinion about this lesion. Pasted the figs again.
CCC, FEA, ADH.
Question is if the dianosis of DCIS should be rendered.
Is the severe lesion in this area ADH or DCIS?
Please share your oppinion and the reasons.
Thanks, cz
名称：图1
描述：图1
名称：图2
描述：图2
名称：图3
描述：图3
名称：图4
描述：图4
名称：图5
描述：图5
名称：图6
描述：图6
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Lesion 3: 导管囊性扩张伴分泌物潴留 is a good call. If you call CCC it is ok. Anyway I cannot appreciate atypia here. It is not a FEA or carcinoma in situ. Compared with the photos on 41 floor we will know what is carcinoma, flat type, even though these figures are not very typical ones.
