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yonghongchen 离线
姓 名: | ××× | 性别: | 女 | 年龄: | 46 |
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简要病史: | 左侧乳腺原位癌术后3年,发现乳腺结节,0.3*0.3*0.3厘米 | ||||
肉眼检查: |
yonghongchen 离线
yonghongchen 离线
yonghongchen 离线
yonghongchen 离线
yonghongchen 离线
以下是引用yonghongchen在2010-1-17 8:46:00的发言:
整个背景是硬化性腺病,只是不敢确定这一团细胞的良恶性。从高倍镜看肌上皮应该是存在的。 |
Look in high power carefully and myoepthelial can be appreciated. So clearly it is not invasive cancer.
Another possibility is DCIS invlolving 硬化性腺病. The growth pattern and cytomorphology do not support DCIS invlolving 硬化性腺病.
It is 硬化性腺病 with reactive change (treatment related?) or apocrine change.
liguoxia71 离线
yonghongchen 离线
Digital Atlas of Breast Pathology by Meenakshi Singh, MD © - Department of Pathology, Stony Brook University Medical Center
Apocrine adenosis and sclerosing adenosis
Glandular arrangement similar to sclerosing adenosis with focal eosinophilic cells with apical snout formation and decapitation secretion characteristic of apocrine differentiation.
yonghongchen 离线
Digital Atlas of Breast Pathology by Meenakshi Singh, MD © - Department of Pathology, Stony Brook University Medical Center
Apocrine adenosis.
While cell proliferation is clearly evident, the adenosis remains largely confined to a lobule.
以下是引用cqzhao在2010-1-17 0:18:00的发言: From the low power, it is more like a sclerosing adenosis. Did patient got some treatment for her previous DCIS? If not sure, you can stain some myoepithelial markers. |
翻译一下赵老师的:
从低倍镜看,它更像是一个硬化性腺病。病人是否得到了一些对她以前的原位癌治疗?如果不知道,你可以染色一些上皮标记。
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