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性别 | 女 | 年龄 | 13 | 临床诊断 | 卵巢肿瘤 |
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一般病史 | 卵巢肿瘤 | ||||
标本名称 | 左卵巢肿块。 | ||||
大体所见 | 冰余左卵巢囊肿10*3*2,囊壁样,厚0.2-1cm,另送左卵巢20*15*6cm,囊性,厚约0.3cm,切面灰白淡红,质软。 |
赵老师说:
上图显示
索状结构:sertoli 细胞。
粉染细胞簇: leydig 细胞。
所以,本例应是sertoli-leydig 细胞瘤。
但对于这样一些病例的诊断,我们一般要做一些免疫染色,例如inhibin,和calretinin.
WT1 可标记sertoli 细胞,但不标记leydig 细胞。
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The internet speed is too slow. I spent 45 minutes for this case. I feel terriable and disappointed.
北京会诊考虑为sertoli-leydig 瘤伴粘液性囊腺瘤,小区为交界性。继续会诊中。
伴粘液性囊腺瘤,小区为交界性. Not sure the diagnosis.
I think the diagnosis "sertoli leydig cell tumor with heterologous elements" is more appropriate.
These are mucinous glands.
Overall I think the diagnosis is sertoli leydig cell tumor with heterologous elements.
About 20% of SLCTs have the heterologous elements. Most of the SLCT with heterologous elements are intermediate differentiated. Gastric or intestinal type of epithelium lined glands or cysts are the most common heterologous elements. Others like foci of carcinoid, cartilage, et al can occur also.
Cord-like structure: sertoli cells
Clusters of pink cells: leydig cells
So It should be sertoli leydig cell tumor.
However, we generally do some stains for these kinds of cases, such as inhibin, calretinin.
WT1 stains sertoli cells, but not leydig cells
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