breast 髓样癌, yes or no?(cqz-26) 9-1-2009

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楼主发表于 2009-09-04 01:24|举报|关注(0)
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姓名：	×××	性别：	年龄：
标本名称：
简要病史：
肉眼检查：

标签：乳腺不典型髓样癌基底细胞样乳腺癌

本帖最后由于 2009-09-26 08:24:00 编辑

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21 楼发表于2009-09-05 01:25:00举报|引用
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以下是引用天天田田在2009-9-4 19:54:00的发言：

我倾向是基底细胞样乳腺癌。

Good thought. But we must have IHC results to support your dx.

In fact most 髓样癌people called before are belong to the category of basal-lik ca

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22 楼发表于2009-09-05 01:23:00举报|引用
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以下是引用Elizabeth在2009-9-4 8:36:00的发言：

Dr.Zhao,

It's very nice to learn your cases. Many thanks!

I think this is case of medullary carcinoma.

Syncytial growth pattern, absence of glandular structure,lymphocyte infiltrate, moderate nuclear pleomorphism and well circumscribed, all features support medullary carcinoma.

I have not seen you for a long time in this web. You must have been busy with your work. Thank for your analysis. cz

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23 楼发表于2009-09-05 01:22:00举报|引用
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Interesting. Most of people would sign out as 髓样癌.

Questions: How often did you sign out 髓样癌 in your daily work? If you have 100 breast ca, how many cases are diagnosed as 髓样癌by you or your colleaques?

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24 楼发表于2009-09-04 07:44:00举报|引用
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This is a breast segmental mastectomy specimen.

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25 楼发表于2009-09-04 07:42:00举报|引用
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This is one of my today's large breast cases. Aged about 59 y women with breast tumor mass measuring 3 cm, grossly with demarcated margins. Clearly it is a high grade carcinoma with a lot of lymphocyte infiltrates. Most areas of the margins are like fig 1 and 2, very focal areas like the last three photos.

Just wonder what should we call for this case. No IHC needed.

Thanks, cz