图片: | |
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名称: | |
描述: | |
姓 名: | ××× | 性别: | 女 | 年龄: | 30 |
标本名称: | 卵巢包块 | ||||
简要病史: | |||||
肉眼检查: | 7*6*4CM,囊实性包块,表面分叶,囊内见多个分隔,内为咖啡样粘稠液体。实性区域约4*3*2CM,切面灰白,质硬,均质。 |
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Most photos here indicates a "Benign Fibroma of the ovary".
However, I do not know if the cystic area is mingled with the solid areas and what the lining of the cyst is, serous, mucinous or endometrioid cell type? It is important to have a really low low power picture to see the relationship. It could be co-exsiting of two totally different entities, such as a fibroma plus endometriotic cyst. Alternatively if solid and cyst alternated each other, it could be an adenofibroma, depend on the cell lining.
(大多数图片提示为“卵巢的良性纤维瘤”。
然而,不知道囊性区域是否混杂实性区域?衬覆上皮是浆液性/粘液性/内膜样细胞?提供低倍图像很重要,可以观察它们的关系。两种不同性质的病变可以共存,如纤维瘤加内膜样囊肿。另外,如果实性区和囊性区交替出现,它可能是腺纤维瘤,诊断依赖于衬覆上皮。 abin译)
Ok, if there is no much more information and any other unusual features for this case, it should be diagnosed as " Benign Ovarian Fibroma with Cystic Degeneration". In minority of ovarian fibroma cases, you can see focal cystic degenerative changes. The degenerative cystic space is usually not lined by epithelium, as seen in this case. That is the key differential diagnostic point from other entities, such as endometriotic cyst and cystic adenofibroma.
I hope this is helpful to you.
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