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- B1014卵巢肿瘤,急会诊!080984
| 姓 名： | ××× | 性别： | 女 | 年龄： | 25 |
| 标本名称： | 卵巢肿瘤,急会诊!080984 | ||||
| 简要病史： | 月经紊乱四个月 | ||||
| 肉眼检查： | 包膜完整,切面灰黄.大小6CM.切面象卵泡膜纤维瘤.实性.质中.外附形态正常的输卵管 | ||||
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标签：卵巢 转移性 粘液 腺癌
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本帖最后由 于 2008-01-27 22:54:00 编辑
朱正龙
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×参考诊断
转移性粘液腺癌
我们报的意见:初步意见:恶性肿瘤,倾向于恶性卵泡膜细胞肿瘤.待普通石蜡切片进一步确诊.术前向病家交待快速有5%的误诊率并请病家鉴了名.这样处理会有问题吗?临床上作了大清扫包括兰尾和大网膜.复习2004年WHO
ronosis and predictive factors
nly 5% of juvenile granulosa cell tumor(JGCTS) behave agressively and these ususally do so within 3 years of presentation.The overall prognosis for JGCT is good with a 1.5% mortallity associated with stage IA tumors; but it is poor in stage 2 higher tumors.本例有的一个高倍镜下就可以找到二个核分裂．Histopathology:it is characterized by a nodular or diffuse cellular growth punctuated by macrofollicles of varying sizes and shapes.their lumens contain eosinophilic or basophilic fluid.A fibrothecomatous stroma wiht variable luteinization and/or oedema is often evident.The typically roundedeosinophilic and/or vacuolated cytoplasm;adn almost all nuclei lack grooves.mitotic figures are abundant.Cytomegaly with macronuclei,multinucleation and bizarre multilobulated nuclei is occasionally observed.
ronosis and predictive factorsnly 5% of juvenile granulosa cell tumor(JGCTS) behave agressively and these ususally do so within 3 years of presentation.The overall prognosis for JGCT is good with a 1.5% mortallity associated with stage IA tumors; but it is poor in stage 2 higher tumors.本例有的一个高倍镜下就可以找到二个核分裂．Histopathology:it is characterized by a nodular or diffuse cellular growth punctuated by macrofollicles of varying sizes and shapes.their lumens contain eosinophilic or basophilic fluid.A fibrothecomatous stroma wiht variable luteinization and/or oedema is often evident.The typically roundedeosinophilic and/or vacuolated cytoplasm;adn almost all nuclei lack grooves.mitotic figures are abundant.Cytomegaly with macronuclei,multinucleation and bizarre multilobulated nuclei is occasionally observed.朱正龙
