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xiaojingling 离线
以下是引用hay在2007-10-25 2:21:00的发言:
for me: Positive for malignant cells, possible lymphoma all single cells, some are good preserved malignant cells(large ones), some are dead cells (small ones)with necrotic backgroud, favour lymphoma; please let us know the final result. Thnaks. |
以下是引用hay在2007-10-25 2:21:00的发言:
for me: Positive for malignant cells, possible lymphoma all single cells, some are good preserved malignant cells(large ones), some are dead cells (small ones)with necrotic backgroud, favour lymphoma; please let us know the final result. Thnaks. HEY老师认为是恶性细胞.首先考虑淋巴瘤.生殖细胞肿瘤也要考虑,但不易见到明显的大核仁.请告诉我最后的结果.谢谢! |
朱正龙
楼上有人说恶性了,现在看着也象恶性。
那些似乎不是分叶核细胞,象是坏死的细胞;其中另一部分细胞,现在看起来也不是正常的淋巴细胞,平时积液里能看到小淋巴细胞, 可那些细胞的核显然太疏松了,且有小核仁,小淋巴细胞再变性也不是变成那样的。 在积液里看到非小淋巴细胞性淋巴细胞样细胞似乎不是好事情,要是在淋巴结穿刺倒有可能; 不过,淋巴结穿刺的大细胞也不应该是单克隆倾向时才好认为是反应性增生的可能。现考虑:恶性肿瘤,结合病史考虑低分化癌(卵巢或胃肠可能)或淋巴瘤可能。IHC?
for me:
Positive for malignant cells,
possible lymphoma
all single cells, some are good preserved malignant cells(large ones), some are dead cells (small ones)with necrotic backgroud, favour lymphoma;
Germ cell tumor also should be considered, but no prominant, big nucleoli easy to be identified;
please let us know the final result. Thnaks.