| 图片： | |
|---|---|
| 名称： | |
| 描述： | |
- 乳腺肿块
图1
图2
图3
图4
图5
图6
| 姓 名： | ××× | 性别： | 女 | 年龄： | 62 |
| 标本名称： | 乳腺肿块 | ||||
| 简要病史： | |||||
| 肉眼检查： | 体积2*1.5*1cm | ||||
标签：
-
本帖最后由 quyibl 于 2011-12-01 21:37:06 编辑
- 我思故我在！ know something about everything,know everything about something.
×参考诊断
-
stevenshen 离线
- 帖子：343
- 粉蓝豆：2
- 经验：343
- 注册时间：2008-06-03
- 加关注 | 发消息
- Having reviewedd the cytology and posted permanent sections. I think it is DCIS, nuclear grade 2 (A guess). Need to rule out microinvasion.
- I have the same question as Dr.陈隆文博士. In general, during a frozen section, what the surgeon will do if the following diagnosis is make: 1)Benign; 2) ADH or "考虑ADH" ; or 3) DCIS
- If a radical procedure is considered based on your diagnosis on frozen - I would consider defer to permanent; if the diagnosis does not change surgeon's managment, pathologists should communicate with and educate the surgeons to abandon the routine frozen.
-
wangxuanju 离线
- 帖子：113
- 粉蓝豆：1
- 经验：113
- 注册时间：2009-04-12
- 加关注 | 发消息
| 以下是引用stevenshen在2009-7-28 21:19:00的发言：
There is confluent proliferation of epithelial cells, although the cytologic features cannot be evaluated clearly on frozen section, I would be most worry about DCIS. Hope some breast pathology expert can comment on this frozen case. Thanks. |
I am not a breast pathologist. But, I agree with Dr. Shen that this is very worrisome for DCIS. I am interested in what the surgeons in China will do if you call this ADH on frozen? What if you call DCIS? Will they do it differently? Please educate me!
I am practicing in a busy hospital in US with a lot of frozens. When I am on frozen call for the day, I can do as many as 100 frozens. I rarely get breast fozens and most of the breast related frozens are sentinal lymph nodes, even that is very much debatable in the US (some people think that we should not do those frozens anyway).
