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- 请教专家
引用 10 楼 cqzhao 在 2011-12-23 20:53:34 的发言:
谢谢赵教授，我在加拿大，估计也没法要求送到其他的医院确认，因为所有的SAMPLEs好像是送到一个地方检测的，现在已经接受做手术，祈祷结果是BENIGN！ FIBROEPITHELIAL LESION WITH INCREASED STROMAL CELLULARITY.
If this is an diagnosis from an experienced pathologist. It means that a definite dx (fibradenoma or phyllodes) cannot ba made based on the breast core bx. Excisional biopsy is needed in such situation. Other possibility is that the patholoigst does not have experience and feel afraid to give a definite dx even though it may be a benign cellular fibroadnoma. If you are in the US, patients have the right to ask the slides to be sent to other hospitals or expert pathologists for consultation.
FIBROEPITHELIAL LESION WITH INCREASED STROMAL CELLULARITY.
If this is an diagnosis from an experienced pathologist. It means that a definite dx (fibradenoma or phyllodes) cannot ba made based on the breast core bx. Excisional biopsy is needed in such situation. Other possibility is that the patholoigst does not have experience and feel afraid to give a definite dx even though it may be a benign cellular fibroadnoma. If you are in the US, patients have the right to ask the slides to be sent to other hospitals or expert pathologists for consultation.
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本帖最后由 kint123 于 2011-12-17 16:30:50 编辑
FIBROEPITHELIAL LESION WITH INCREASED STROMAL CELLULARITY，在穿刺活检标本中作出这样的诊断，术后可能是纤维腺瘤，也可能是叶状肿瘤，若是后者，则有复发的可能。对于这样的结果，一般不用太过着急，过两个月再手术切除也不会有多大的影响，即便是叶状肿瘤，局部扩大切除辅以随访观察应该就足够了。
此外，即便是叶状肿瘤，小于4cm的肿瘤也少有复发，楼主不用担心
- The More We See, The Less We Know!
