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谈东风病例4 Case T0004:30岁女性,阑尾切除标本,是肿瘤吗?

谈东风 离线

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楼主 发表于 2010-05-04 04:36|举报|关注(0)
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姓    名: ××× 性别:  female 年龄:  30
标本名称:  
简要病史:  abdomen pain
肉眼检查:  a dilated appendiceal mass, 8.5x4.4x3.2cm, cystic appearance with yellow, cloudy mucinous fluid.

 

Microscopically, cystic spaces/lesions involves the deep portion of the appendiceal wall, some of which are close to the serosal surface.

 

Images 1-3: from the mucosal/luminal surface.

Images 4-6: from two cystic lesions close to the serosa.

 

Impression:  a large mucinous mass of the appendix. Microscopically, focal stratification is present, without significant nuclear atypia. Though the lesion involves the subserosal areas (the diverticuli-like changes are frequently in this tumor) , no destructive invasion is identified.

 

Diagnosis:

 

Mucinous adenoma with low-grade dysplasia or low-grade mucinous neoplasm: 阑尾低级别黏液性腺瘤

 

You are doing wonderfully.  If this case was perforated, it would be called as "borderline neoplasm with uncertain malignant potential", since it will cause uncureable recurrence later.

  • 谈东风病例4 Case T0004:30岁女性,阑尾切除标本,是肿瘤吗?图1
    图1
  • 谈东风病例4 Case T0004:30岁女性,阑尾切除标本,是肿瘤吗?图2
    图2
  • 谈东风病例4 Case T0004:30岁女性,阑尾切除标本,是肿瘤吗?图3
    图3
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本帖最后由 于 2010-06-02 23:31:00 编辑
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lantian0508 离线

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21 楼    发表于2010-05-04 08:47:00举报|引用
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 (阑尾)粘液性囊腺瘤
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fashun 离线

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22 楼    发表于2010-05-04 08:57:00举报|引用
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 粘液性囊腺瘤
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