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- B2-13(美国Rochester大学)
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读片会讨论意见：
1：黏液癌
2：实性乳头性癌，加染Syn, CgA, NSE
3：黏液癌，部分为微乳头状癌
4：乳头状癌，加染CgA, Syn
5：大汗腺样的粘液癌（CNB标本）
6：mucinous carcinoma (or intermediate to high grade IDC, need to rule out invasive micropapillary (EMA - highlight periphery in invasive micropapillary) ? also some neuroendocrine differentiation (synaptophysin, chromogranin?)
7：粘液腺癌，部分为浸润性微乳头状癌
8：黏液癌伴浸润性微乳头状癌结构
9：粘液腺癌
10：粘液癌
11：浸润性微乳头状癌，伴有黏液分泌
12：invasive micropapillary carcinoma with mucinous differentiation. (This is a high grade tumor, need to be distinguished from invasive mucinous carcinoma)
13：疑为为乳头型DCIS？粘液癌？组织过少
14： 浸润性粘液癌
出片单位意见：Invasive mucinous carcinoma with micropapillary pattern
华夏病理/粉蓝医疗
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本帖最后由 于 2010-08-04 18:35:00 编辑
The histology of the lesion show both mucinous and micropapillary features, with both mucin and the inverted pattern very easy to appriociated. Recently most people included us like to call it as mucinous carcinoma with micropapillary feature. Some has named it as mucinous variant of invasive micropapillary carcinoma. Either way, it's prognosis is believed to be worse than pure mucinous carcinoma, and probably better than IMPC. So mention it in diagnosis is important.
