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姓 名: | ××× | 性别: | 女 | 年龄: | 72 |
标本名称: | 左乳肿块 | ||||
简要病史: | 暂缺 | ||||
肉眼检查: | 灰红色肿块一个,1.5*1*1CM,切面生梨状。 |
免疫组化:ER,(-);PR,(-);C-erbB-2,(-);syn,(-);CK5/6,(-);E-cad,(++);Ki-67,30%(+)。
此例是本院同事的母亲,拜托我发贴上来听听各位老师对治疗和预后的意见。
IDC, histologic grade 2 (tubual formation-3, nuclear atypia-2, mitotic activity 1 or 2; total score 6 or 7/9). Triple negative tumor. Not like classic basal-like tumor.
Repeat stain ER, PR for the sections with glands to make sure it is true it is a triple negative tumor. The results will determine the selection of treatment.
For this age, pt can have total mastectomy with axillary 前哨lymph node bx. Then the tx will be determined by the status of lymph node, hormon receipt et al...
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