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- 扁桃体肿物
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zhongshihua 离线
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There are many small lymphocytes underneath the epithelia, without formation of germinal centers. However, I do not see destructive growth or enough cytologic atypia to favor the diagnosis of small lymphocytic lymphoma/chronic lymphocytic leukemia. The patient is relatively young and the "tumor" is relatively small. Why can't this be lymphoid hyperplasia in a reactive tonsil? One has to rely on immunostains or other ancillary methods to examine the clonality of these lymphocytes.
聞道有先後,術業有專攻
| 以下是引用mjma 在2006-10-27 20:01:00的发言： There are many small lymphocytes underneath the epithelia, without formation of germinal centers. However, I do not see destructive growth or enough cytologic atypia to favor the diagnosis of small lymphocytic lymphoma/chronic lymphocytic leukemia. The patient is relatively young and the "tumor" is relatively small. Why can't this be lymphoid hyperplasia in a reactive tonsil? One has to rely on immunostains or other ancillary methods to examine the clonality of these lymphocytes. |
上皮下有很多小淋巴细胞，未见生发中心形成。但是，我并没有看见倾向小淋巴细胞性淋巴瘤/慢性淋巴细胞白血病诊断的破坏性生长或足够的细胞异型性。该病人比较年轻，“肿瘤”相对也较小。为什么这不可以是发生在扁桃体中的反应性淋巴样增生呢？这不得不依赖免疫标记或其他辅助手段来检测淋巴细胞的克隆性。
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zhongshihua 离线
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