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名称: | |
描述: | |
姓 名: | ××× | 性别: | 年龄: | ||
标本名称: | 右乳腺部分切除标本 | ||||
简要病史: | 右乳腺疼痛4年,发现包块数月。 | ||||
肉眼检查: | 部分乳腺腺叶切除标本,切面见一肿块0.8x0.5cm。 |
It is better to call mixed invasive ductal carcinoma, micropapillary (xx%) and mucinous (xx%) types.
Most likely it is a micropapillary ca originally. Part of carcinoma cells produce extracellular muninous materials.
Good case. Thank Dr. Zhang for sharing.
baixuefeng 离线
请参阅美国Rochester大学唐平老师提供的精彩病例、漂亮的图片和点评:
唐平老师的评述:
The histology of the lesion show both mucinous and micropapillary features, with both mucin and the inverted pattern very easy to appriociated. Recently most people included us like to call it as mucinous carcinoma with micropapillary feature. Some has named it as mucinous variant of invasive micropapillary carcinoma. Either way, it's prognosis is believed to be worse than pure mucinous carcinoma, and probably better than IMPC. So mention it in diagnosis is important.
Abin老师翻译如下: 此例病变的组织学表现兼有粘液样和微乳头状特征,粘液和极性倒置的特征均容易识别。包括我们,最近很多人称之为粘液癌伴微乳头状特征。也有人称为浸润性微乳头状癌的粘液样亚型。不管采取何种命名,其预后比纯粘液癌差,但可能比浸润性微乳头状癌好。因此,在诊断中注明这种特点具有重要意义。 |
此病例: http://ipathology.cn/forum/forum_display.asp?keyno=278637