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72 year old with a large thigh mass

stevenshen 离线

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楼主 发表于 2009-10-17 07:50|举报|关注(0)
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姓    名: ××× 性别:  72 年龄:  male
标本名称: Thigh mass (9 cm)
简要病史:  
肉眼检查: Homogeneous fleshy mass with focal cystic change

Frozen section interpretation and diagnosis?

Have difficulties to upload the photomicrograph..will try another time...

  • 72 year old with a large thigh mass图1
    图1
  • 72 year old with a large thigh mass图2
    图2
  • 72 year old with a large thigh mass图3
    图3
  • 72 year old with a large thigh mass图4
    图4
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本帖最后由 于 2009-10-31 06:19:00 编辑
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×参考诊断
Solitary fibrous tumor

stevenshen 离线

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1 楼    发表于2009-11-30 09:00:00举报|引用
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  • Although there are not many responses, but all the discussion are to the point.
  • For this particular case,  I think 冰冻切片报告间叶源性肿瘤 will be sufficient, unless one can absolutely sure about the diagnosis. It will be dangerous to make a incorrect diagnosis that lead to unneccesary radical surgery. One has to be cautious to make a definite "benign" or malignant diagnosis.
  • Frozen diagnosis: cellular spindle cell neoplasm
  • Final diagnosis: solitary fibrous tumor (CD34 diffusely and strongly positive)
  • Thanks to Dr. Ma for the excellent comments!
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stevenshen 离线

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2 楼    发表于2009-11-24 08:44:00举报|引用
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Dr. Ma is right on the money. Can we ask you to comment about how you come to the conclusion? What are the most helpful features for you in this case? Thanks a lot.

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3 楼    发表于2009-11-14 07:09:00举报|引用
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Pictures posted successfully!

What's the appropriate frozen section diagnosis?

What's your best guess?

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