引用 28 楼 yyhyyh888 在 2013-06-27 22:49:20 的发言:引用 21 楼 medman_2010 在 2012-07-28 15:00:22 的发言:
高级别导管原位癌,建议全部取材,寻找浸润灶,一般都会有浸润。
我们在以前也没注意,就在取材的几个蜡块中寻找,经常找不到浸润,后来全部取材经常会见到明确微小浸润,这样诊断就放心多了,特别是体积较大的病例,祝好运。
导管原位癌的病例,如果找不到浸润,肿物必须全取吗,如果肿物较大怎么全取啊,那不得上百个蜡块吗,你们实际怎么操作的,我见过最大的有8cm直径
规范是这么说的:
For specimens with a known diagnosis of DCIS (eg, by prior core needle biopsy) it is highly
recommended that the entire specimen is examined using serial sequential sampling to exclude the
possibility of invasion, to completely evaluate the margins, and to aid in determining extent.
---
CAP Protocol for the Examination of Specimens From Patients With Ductal Carcinoma In Situ (DCIS) of the Breast
Protocol web posting date: June 2012
可是实际做到可能很难呀!国内能有几家医院能做到?大家可以说说:1.自己单位现在怎么做的,2.以后应该怎样做 吧!
引用 28 楼 yyhyyh888 在 2013-06-27 22:49:20 的发言:引用 21 楼 medman_2010 在 2012-07-28 15:00:22 的发言:
高级别导管原位癌,建议全部取材,寻找浸润灶,一般都会有浸润。
我们在以前也没注意,就在取材的几个蜡块中寻找,经常找不到浸润,后来全部取材经常会见到明确微小浸润,这样诊断就放心多了,特别是体积较大的病例,祝好运。
导管原位癌的病例,如果找不到浸润,肿物必须全取吗,如果肿物较大怎么全取啊,那不得上百个蜡块吗,你们实际怎么操作的,我见过最大的有8cm直径
规范是这么说的:
For specimens with a known diagnosis of DCIS (eg, by prior core needle biopsy) it is highly
recommended that the entire specimen is examined using serial sequential sampling to exclude the
possibility of invasion, to completely evaluate the margins, and to aid in determining extent.
---
CAP Protocol for the Examination of Specimens From Patients With Ductal Carcinoma In Situ (DCIS) of the Breast
Protocol web posting date: June 2012
可是实际做到可能很难呀!国内能有几家医院能做到?大家可以说说:1.自己单位现在怎么做的,2.以后应该怎样做 吧!