The danger of frozen diagnosis for small lesion is that once the frozen is done, you will not have paraffin tissue (non-frozen) for a more definite diagnosis. I will try not to do a frozen; If we are forced to do frozen, a conservative diagnosis such as 疑癌变 is reasonable to me.
The question is that will such a diagnosis 疑癌变 trigger a radical procedure, such as mastectomy. It will be important to know how the diagnosis affect surgeon's decision.
For this case, I think it is micropapillary DCIS with microinvasion...Fig. 1 has too many small cluters or single cells with extension outside the confine of a lobule + ruptured mucinous cyst.
Thanks!
The danger of frozen diagnosis for small lesion is that once the frozen is done, you will not have paraffin tissue (non-frozen) for a more definite diagnosis. I will try not to do a frozen; If we are forced to do frozen, a conservative diagnosis such as 疑癌变 is reasonable to me.
The question is that will such a diagnosis 疑癌变 trigger a radical procedure, such as mastectomy. It will be important to know how the diagnosis affect surgeon's decision.
For this case, I think it is micropapillary DCIS with microinvasion...Fig. 1 has too many small cluters or single cells with extension outside the confine of a lobule + ruptured mucinous cyst.