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- B2486乳腺穿刺标本
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xiaoyan0290 离线
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| 姓 名： | ××× | 性别： | 女 | 年龄： | 68 |
| 标本名称： | |||||
| 简要病史： | 发现肿物6个月。 | ||||
| 肉眼检查： |
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标签：乳腺乳头状肿瘤 p63 SMA
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×参考诊断
I assume this is breast core bx specimen. Specimen is fragmented and difficult to evaulate.
It appears a papillary lesion with monotonous cell population and mitoses. In the high power, appreciate meoepithelial cells may be present in some areas (I amnot sure). Do myoepithelial stains such as p63, SMA. If there is no myoepithelial cells surrounding the ductal epithelial cells in all areas, it is papillary carcinoma. Otherwise it can be atypical pailloma et al.
If you can not do myoepithelial stains, just call papillary lesion. Excisional bx is recommended for treatment and further evaluation of the lesion. Even though it is a benign intraductal papilloma in core biopsy, the patient should have excisional biopsy also.
| 以下是引用cqzhao在2010-2-2 1:32:00的发言：
I assume this is breast core bx specimen. Specimen is fragmented and difficult to evaulate. It appears a papillary lesion with monotonous cell population and mitoses. In the high power, appreciate meoepithelial cells may be present in some areas (I amnot sure). Do myoepithelial stains such as p63, SMA. If there is no myoepithelial cells surrounding the ductal epithelial cells in all areas, it is papillary carcinoma. Otherwise it can be atypical pailloma et al. If you can not do myoepithelial stains, just call papillary lesion. Excisional bx is recommended for treatment and further evaluation of the lesion. Even though it is a benign intraductal papilloma in core biopsy, the patient should have excisional biopsy also. 同意这个考虑和建议，CNB标本显示乳头状病变一般要进行肿块活检，有利于治疗和病变的进一步评价。 |
| 以下是引用cqzhao在2010-2-2 1:32:00的发言：
I assume this is breast core bx specimen. Specimen is fragmented and difficult to evaulate. It appears a papillary lesion with monotonous cell population and mitoses. In the high power, appreciate meoepithelial cells may be present in some areas (I amnot sure). Do myoepithelial stains such as p63, SMA. If there is no myoepithelial cells surrounding the ductal epithelial cells in all areas, it is papillary carcinoma. Otherwise it can be atypical pailloma et al. If you can not do myoepithelial stains, just call papillary lesion. Excisional bx is recommended for treatment and further evaluation of the lesion. Even though it is a benign intraductal papilloma in core biopsy, the patient should have excisional biopsy also. |
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