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简要病史: | Michael Deavers The University of Texas, M.D. Anderson Cancer Center Houston, TX Clinical History | ||||
肉眼检查: |
华夏病理/粉蓝医疗
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Differential Diagnosis鉴别诊断
Endometrioid Endometrial Adenocarcinoma 子宫内膜的子宫内膜样腺癌
Endocervical Adenocarcinoma宫颈的腺癌
Serous Carcinoma 浆液性癌
Metastatic Adenocarcinoma转移性腺癌
Discussion Points讨论点
Not all adenocarcinomas identified in an EMB are from the endometrium. Cervical primaries and metastases may also be encountered in these specimens. 并非所有EMB(子宫内膜活检)发现的腺癌都起源于子宫内膜。这些标本中,也可能遇到宫颈原发性和转移性的癌。
Histologic clues for metastatic colorectal carcinoma: 转移性结直肠癌的组织学线索
Tumor distinctly separate from normal endometrium.肿瘤与正常子宫内膜之间有明显分隔(界限)
Scattered focal cytologic atypia, inappropriate for the architectural grade. 散在的局灶性细胞学异型性,与结构上的级别(异型程度)不成比例
Dirty necrosis. 脏坏死
Goblet cells. 杯状细胞
Fibrotic background. 纤维性背景
Immunohistochemistry (CK7, CK20) can be useful. 免疫组化CK7、CK20可能有用
Final Diagnosis最后诊断
Metastatic Colorectal Adenocarcinoma involving the endometrium转移性结直肠腺癌累犯子宫内膜
华夏病理/粉蓝医疗
为基层医院病理科提供全面解决方案,
努力让人人享有便捷准确可靠的病理诊断服务。