引用 2 楼 Chiang 在 2012-12-07 17:59:32 的发言:
假若是同一个部位,宁愿诊断良性叶状瘤而不是纤维腺瘤,因为前者可以复发的,二者有时候组织学难以区分,本例有典型的叶状结构,只是间质细胞大部分还是不够密集,实际上诊断哪一个都可以。
Agree above. It is not easy to make dx for this case based on the photos.
Leaf-like structure, periglandular condensation (increased stroma surrounding the glands), recurrene (if it is true). Maybe it is a benign phyllodes.
Of cause no increased stroma and no obvious stromal atypia make the diagnosis difficult.
Check the margins, mitosies et al....
引用 2 楼 Chiang 在 2012-12-07 17:59:32 的发言:
假若是同一个部位,宁愿诊断良性叶状瘤而不是纤维腺瘤,因为前者可以复发的,二者有时候组织学难以区分,本例有典型的叶状结构,只是间质细胞大部分还是不够密集,实际上诊断哪一个都可以。
Agree above. It is not easy to make dx for this case based on the photos.
Leaf-like structure, periglandular condensation (increased stroma surrounding the glands), recurrene (if it is true). Maybe it is a benign phyllodes.
Of cause no increased stroma and no obvious stromal atypia make the diagnosis difficult.
Check the margins, mitosies et al....