这可以诊断乳腺癌侵犯皮肤吗？标准是什么？

名称：图1
描述：IMG_1959

名称：图2
描述：IMG_1960

本病例肿瘤侵犯真皮和皮下，但不伴皮肤溃疡，不改变T分期。请参考以下文献：

Reference:CAP Protocol for the Examination of Specimens From Patients With Invasive Carcinoma of the Breast, 2013

Macroscopic and Microscopic Extent of Tumor (required only if the structures are present and involved)

(select all that apply) (Note I)

Skin

___ Invasive carcinoma directly invades into the dermis or epidermis without skin ulceration (this does

not change the T stage)浸润性癌直接侵犯真皮或表皮，不伴皮肤溃疡（不改变T分期）

___ Invasive carcinoma directly invades into the dermis or epidermis with skin ulceration (classified as

T4b)浸润性癌直接侵犯真皮或表皮，伴皮肤溃疡（归类为T4b）

___ Satellite skin foci of invasive carcinoma are present (ie, not contiguous with the invasive carcinoma

in the breast) (classified as T4b)可见浸润性癌的皮肤卫星病灶（即：与乳腺中的浸润癌不连续）（归类为T4b）

Note: Satellite skin foci are typically due to dermal lymph-vascular invasion. The original definition referred to

macroscopically clinically evident foci. The clinical significance of satellite skin foci only identified microscopically

has not been studied.

应该不可以诊断，依据皮肤表皮完整，且癌巢较深，似乎没有达真皮层。理论上皮肤包括表皮及真皮两部分，如何判断乳腺癌侵犯皮肤，期待专家讲解

侵犯皮下