This is my one today's consult cases

about 60 y/f with breast lesion 

What is your diagnosis? 

 Interested to ses above differential dx. This is a consult case. The primary pathologist (from a local hospital) thought it maight be a DCIS (papillary type). Some general pathologists in the usa are not good////.

One of our breast path fellow reviewed the case and thought it may be denomyoepithelioma as most of you. 

 P63 stain

Now do you still think it is adenomyoepitheliona?

名称：图1
描述：图1

名称：图2
描述：图2

名称：图3
描述：图3

翻译

Interested to ses above differential dx. This is a consult case. The primary pathologist (from a local hospital) thought it maight be a DCIS (papillary type). Some general pathologists in the usa are not good////.

One of our breast path fellow reviewed the case and thought it may be denomyoepithelioma as most of you.

很高兴看到上面这么多不同的诊断，这是一个会诊病例。最初的病理医生（地方医院）认为它可能是导管原位癌（乳头型）。

我们的一个乳腺病理医生看了片子后，和你们大多数人意见一致，认为它可能是腺肌上皮瘤。

 P63 stain P63 染色

Now do you still think it is adenomyoepitheliona?

现在，你还认为是腺肌上皮瘤吗？

 p63示双层结构存在。未见肌上皮增生。

我个人仍然认为是腺病，伴导管内乳头状瘤形成（趋势）及导管上皮增生（UDH）。似乎没有其它特殊病变？

 zhao 老师, 您做的工作更多, 我们更应该感谢您才对!

翻译

 Lunch time, Check this caes. Thank Dr. Wang's translation. Now there are a lot of pathologists with high level of English in China. This is a good sign.

似纤毛又非似纤毛: these kinds of structures are very common in columnar cell changes, papilloma, FCC et al. You will notice them often when you pay attention to. Forget these structures. They are not important for the dx of this case.

午饭时间,来看看这个病例.感谢王医生的翻译.现在中国国内很多病理学工作者英语水平都很高,这是个好现象.

似纤毛又非似纤毛: 这种结构在柱状细胞变化，乳头状瘤，FCC（？）等病变中都很常见。当你留意的时候，你常常会注意到（这种结构）。忘掉这些结构，这种结构在这个病例的诊断中不重要。