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50 year man with right neck mass

stevenshen 离线

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楼主 发表于 2009-10-31 06:40|举报|关注(0)
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姓    名: ××× 性别:  Male 年龄:  50
标本名称: Right neck nodule
简要病史: clinical "enlarged lymph node"
肉眼检查:
What's your frozen diagnosis and differential diagnoses? And why?
  • 50 year man with right neck mass图1
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stevenshen 离线

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1 楼    发表于2009-11-24 08:39:00举报|引用
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I am sure that you will agree that salivary gland histologic classification can be very difficult.

From the above discussion, some favor adenoid cystic carcinoma, others favor benign tumors.

Please consider the following: tumor edge, types of cells, true tubules or not, do we have chondromyxoid stroma, what about the cellular arrangment, pleomorphism, peripheral cellular palisading, cysts or mucus cells?

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2 楼    发表于2009-11-14 07:14:00举报|引用
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I did try to the complete history intially.

We asked the surgeon where exactly the tissue was from.

The answer was "perhaps submandibular gland".

 

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