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姓 名: | ××× | 性别: | 女 | 年龄: | 52岁 |
标本名称: | 左乳肿物 | ||||
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肉眼检查: | 大小2cm*2cm*1.5cm |
以下是引用cqzhao在2010-11-17 4:25:00的发言:
如果混有少量浸润性微乳头状癌成分,如何写诊断? Pure 浸润性微乳头状癌 is also an uncommon tumor. It oftenis admixed with IDC, NOS. 浸润性微乳头状癌is easy to have axillary lymph node metastasis with a relative poor prognosis. In above case, you can dx as invasive ductal ca with focal (you can give a % if you know) cribriform pattern. In the comment: you can mention focal tumor show micropapillary pattern. Generally if focal invasive micropapillary ca is asmixed with invasieve ductal ca, NOS, you can write the dx invasive ductal ca with focal invasive micropapillary ca. Because treatments are no much different (IDC vs IDC with focal micropapillary ca), it is fine if you just call IDC. |
译文:
单纯浸润性微乳头状癌也不常见,它通常与非特殊类型的浸润性导管癌混合存在。
浸润性微乳头状癌易发生腋下淋巴结转移,相对预后差一些。
就此例而言,可这样诊断:浸润性导管癌,局部筛状型(标记所占百分比)。备注:提示肿瘤局部呈微乳头状结构。
一般情况下,如果浸润性微乳头状癌与非特殊类型浸润性导管癌混合时,可诊断为浸润性导管癌,局部为浸润性微乳头状癌。因为两者在治疗上并无多大区别。如果只诊断为浸润性导管癌也问题不大。