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如果整张涂片观察Calretinin呈局灶阳性,Ber-EP4强阳性,就考虑肺腺癌;如果整张涂片Calretinin为阴性,则考虑乳腺癌,肺腺癌和乳腺癌的鉴别还应该给予TTF-1,CK5/CK6。
从形态学上看,液基细胞中因为制片的技术原因细胞会被打散分布,但上述几张传统离心涂片中腺癌细胞之间是分散存在,查了一些资料这是讲细胞分散型肺腺癌的----以散在为主分布的细胞分为两种,以中等大小体积的腺癌细胞和混杂有多数量的巨大细胞即瘤巨细胞类型。讲乳腺癌的是---乳腺小叶癌的胸腔积液中,大部分细胞散在分布,核呈半月型或印戒样。
从赵老师的帖子里会学到很多知识,就算发言错了,最终我还是能增长自己的知识,所以我不怕丑的,请赵老师多指正。
以下是引用cqzhao在2010-9-3 22:54:00的发言:
Seem that only you are interested to this case. We can have one to one talk. You are right.Suppose that I am your attending and your are my resident (truely you can be my teacher) Do you think it is a normal case of adenocarcinoma based on the cytology? |
thanks,Dr.zhao,I am not only interested that case,I want to learn knowledge of cytopathology from this case.
I am not sure if it is a normal case of adenocarcinoma,maybe we can make some ICC makers for it to find a correct result.
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