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女,45,右乳腺包块曾2次手术术后找到纤维腺瘤,末次术后4月又见包块,生长快,活动。。 附脂肪组织8.5x7x4cm,中央见3.5x3x3cm包块,包膜完整,切面灰白,质较嫩,部分区域囊性改变,2.5x1cm,内容胶冻状物,局部区域有出血。
以下是引用cqzhao在2009-4-11 8:52:00的发言:
Thank 柳刀 for sharing the cases. Agree above dx. Case 1 at least borderline. 2: phyllodes, need to know more features for further classification, mostly it is a benign one. Case 3: 19y,发现右乳腺包块4月,生长快于外院手术。大体:灰白色组织6.5x5.5x2.5cm,无明显包膜,切面灰白,质稍嫩,有油腻感。镜下,间质细胞稍丰富,同样黏液变,可见核分裂,但不 多. How many xxxx/10HPF. Wonder if it is a juvenile fibroadenoma. |