学习了 谢谢！

学习了，谢谢！

 谢谢赵老师的付出，花费如此宝贵的时间来为我们做这样的事情。

我来对照一下，看看对了几道题，哈哈！

cqzhao 老师34个病例的答案翻译如下：

1. Invasive micropapillary ca
浸润性微乳头癌

2.. Atypical papilloma with microcalcification
非典型乳头状瘤，伴微钙化

3. Apocrine change. Benign
大汗腺改变，良性

4. SPC
实性乳头状癌（Solid papillary carcinima）

5. DCIS, micropapillary pattern
导管内癌，微乳头型

6. SPC
实性乳头状癌

7. SPC with frank stromal invasion; or invasive ductal carcinoma arising from SPC
实性乳头状癌伴小灶间质浸润 或 浸润性导管癌（发生于实性乳头状癌）

8. SPC with frank stromal invasion or invadive ductal carcinoma arising from SPC
实性乳头状癌伴小灶间质浸润 或 浸润性导管癌（发生于实性乳头状癌）

9. dx is the same as above
诊断同上


Remember: The size of invasion should be measured based on the invasive component
谨记：浸润癌的大小为基于浸润性成分的值
10. Atypical papilloma
非典型乳头状瘤

11.

Atypical papilloma
非典型乳头状瘤

12.

Atypical papilloma
非典型乳头状瘤

13.

-Atypical papilloma with microcalcifications
-Radial scar
非典型乳头状瘤，放射状瘢痕

14.

SPC with frank stromal invasion or invadive ductal carcinoma arising from SPC
实性乳头状癌伴小灶间质浸润 或 浸润性导管癌（发生于实性乳头状癌）

15.

Invasive ductal carcinoma (it is fine if you call IDC mixed with cribriform ca) arising with EPC Or EPC with invasive ductal carcinoma
浸润性导管癌（也可称为混合性浸润性导管癌-筛状癌）发生于实性乳头状癌
或 实性乳头状癌合并浸润性导管癌

16.

EPC
包裹型乳头状癌（Encapsulated papillary carcinoma）

17

IDP with UDH, apocrine change.

You can just call IDP
导管内增生（Intra- ductal proliferation ），伴UDH，大汗腺改变
报IDP就行了。

18.

IDP with squamous metaplasia
You can just call IDP
导管内增生（Intra-ductal proliferation ）合并鳞状化生
报IDP就行了。
19

IDP with necrosis
or just call IDP
导管内增生，伴坏死
或报IDP就行了。
20

DCIS micropapillary pattern.
If this is the only lesion, it is fine to call ADH
导管内癌，微乳头型
假如仅此病变，报ADH即可

21

SPC
实性乳头状癌

22.

SPC with focal invasion
实性乳头状癌，伴灶性浸润

23.

DCIS, Papillary pattern or Papillary DCIS
导管内癌，乳头状型 或 乳头状导管内癌

24

Invasive micropapillary ca with focal mucinous feature
浸润性微乳头状癌，伴灶性粘液样特征


25.

Invasive micropapillary ca and mucinous ca or

Invasive carcinoma, mixed with micropapillary and Mucinous types
浸润性微乳头癌和粘液癌 或 浸润性癌，混合有微乳头及粘液样亚型

26.

Atypical papilloma
非典型乳头状瘤

27

Atypical papilloma with collagenous spherulosis
rare case
非典型乳头状瘤，伴胶原球病（罕见病例）

28

Atypical papilloma
非典型乳头状瘤

29.

-Invasive micropapillary ca with apocrine feature
-DCIS
浸润性微乳头状癌，伴大汗腺特征
导管内癌

30

DCIS, micropapillary patter
There is invasive micropapillary ca in other area in this case
导管内癌，微乳头型
本例其他区域有浸润性微乳头状癌

31.

EPC
包裹型乳头状癌

32

IDP
导管内增生

33

-Invasive ductal carcinoma
-EPC
浸润性导管癌
实性乳头状癌

34

-Focal invasive ductal ca
-EPC
局灶浸润性性导管癌
包裹型乳头状癌

 Hope young or new pathologists can have a basic understanding to breast papillary lesions and obtain some diagnostic priniciples by attending the lectures and studying these cases. Imortant points include classifications of breast papillary lesions, diagnosis of atypical papilloma, EPC, SPC.

Some one please translates my diagnoses for the 34 cases. thanks, cz

 Thank all of you who read this topic. I especially appreciate 老山羊和亚梦to勇敢的写出你们的评估看法。It is difficult to make dx based on one or two phots on line. So it does not matter your comments are right or wrong.

重在参与。参入就应有收获。

 31.

 EPC

32

IDP

33

-Invasive ductal carcinoma

-EPC

34

-Focal invasive ductal ca

-EPC

 26.

Atypical papilloma

27

Atypical papilloma with collagenous spherulosis

rare case

28

Atypical papilloma

29.

-Invasive micropapillary ca with apocrine feature

-DCIS

30

DCIS, micropapillary patter

There is invasive micropapillary ca in other area in this case

 16.

EPC

17

IDP with UDH, apocrine change.

You can just call IDP

18.

 IDP with squamous metaplasia

You can just call IDP

19

IDP with necrosis

or  just call IDP

20

DCIS micropapillary pattern.

If this is the only lesion, it is fine to call ADH

21

SPC

22.

SPC with focal invasion

23.

DCIS, Papillary pattern or

Papillary DCIS

24

Invasive micropapillary ca with focal mucinous feature

25.

Invasive micropapillary ca and mucinous ca

or

Invasive carcinoma, mixed with micropapillary and mucinous types

 10. Atypical papilloma

11.

Atypical papilloma

12.

 Atypical papilloma

13.

-Atypical papilloma with microcalcifications

-Radial scar

14.

SPC with frank stromal invasion

or invadive ductal carcinoma arising from SPC

15.

Invasive ductal carcinoma (it is fine if you call IDC mixed with cribriform ca) arising with EPC

Or EPC with invasive ductal carcinoma

 1. Invasive micropapillary ca

2.. Atypical papilloma with microcalcification

3. Apocrine change. Benign

4. SPC

5. DCIS, micropapillary pattern

6. SPC

7. SPC with frank stromal invasion;

or invasive ductal carcinoma arising from SPC

8. SPC with frank stromal invasion

or invadive ductal carcinoma arising from SPC

9. dx is the same as above

Remember: The size of invasion should be measured based on the invasive component

 My Satursday talk included too many cases ans slides. I did not explain clearly for some cases. I wrote my dx for above 34 cases for your reference.

It is not easy to study pathology. Lectures can help you to get some dx priniciple. If you want to become a good pathologist you need to read many slides in your daily practice or study slides.