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- 43岁 女 宫颈肿物
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shihong4699 离线
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redsnow007 离线
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liguoxia71 离线
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stevenshen 离线
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- Is the specimen a hystectomy or myomectomy?
- I also favor smooth muscle neoplasm with pleomorphic cells. But for frozen diagnosis, I would be more careful not to make a definitive diagnosis of 平滑肌瘤 because of limited sampling...
- Need to rule out leiomyosarcoma (mitotic count and necrosis) and even sarcomatoid carcinoma (any epithelial component) on permanent section.
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shihong4699 离线
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- Is the specimen a hystectomy or myomectomy?
- I also favor smooth muscle neoplasm with pleomorphic cells. But for frozen diagnosis, I would be more careful not to make a definitive diagnosis of 平滑肌瘤 because of limited sampling...
- Need to rule out leiomyosarcoma (mitotic count and necrosis) and even sarcomatoid carcinoma (any epithelial component) on permanent section.
| 以下是引用stevenshen在2009-7-13 7:25:00的发言：
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- 博学之，审问之，慎思之，明辨之，笃行之。
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shihong4699 离线
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stevenshen 离线
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Thanks for posting the 石蜡切片!
It is surprising to see the difference between the frozen and 石蜡切片, particularly the cytologic features.
In addition to leiomyosarcoma, would also consider high grade endometrial stromal sarcoma, still need to rule out sarcomatoid carcinoma, and even malignant melanoma.
