浸润性小叶癌

浸润性导管癌

小叶癌化

导管原位癌

小叶原位癌

以上类型都可见到。

 -LCIS

-invasive mammary ca; stain to see it is ductal or lobular type

赵老师说：

-小叶原位癌

-浸润性乳腺癌；标记看看到底是导管癌还是小叶癌。

 TC, LCIS, and CCL in breast tissue be named ‘‘Rosen Triad,’’

（Adv Anat Pathol 2008;15:140–146)）

小管癌，小叶原位癌和柱状细胞病变，称为Rosen Triad（Rosen三征）。本例就差CCL了

浸润性导管癌

IHC 标记:

图1-5 E-cadherin

图6-8 P120

图9-10 34BE12

图8-9为淋巴结

these tubule structures show reduced e-cad stain

But p120 positive (membrane)

Not sure if they are the same areas.

Tumor in lymh node is lobular.

 In clinical practice, often we can have some tumors showing some complicated features.

Clinically there is no much difference for what you call in this case.

I would call

- invasive lobular ca with focal tubular structures. or invasive lobular ca with focal ductal ca.

-Lobular ca in situ

- lymph node is positive for lobular ca

with a comment to explane the situation.

Thank for sharing the case.

Just for your reference

临床实践中，我们常常见到某些肿瘤显示一些复杂特征。

本例具体称为什么，在临床上并无太大差异。

我可能会称为：

-浸润性小叶癌伴局灶小管结构。或浸润性小叶癌伴局灶导管癌。

-小叶原位癌。

-淋巴结阳性，为小叶癌

加备注进一步解释这种情形。

谢谢分享病例。

仅供参考。

 Of cause I can buy it if you want to call invasive lobular ca with focal 小管-小叶癌.

如果称为浸润性小叶癌，我当然也能接受。