| 图片： | |
|---|---|
| 名称： | |
| 描述： | |
- 微信病例247| 膀胱占位，请问您的诊断？感谢孔祥田老师分享、讲解病例，感谢各位老师参与讨论！
-
慧馨_fu^2550 离线
- 帖子：330
- 粉蓝豆：0
- 经验：330
- 注册时间：2017-05-12
- 加关注 | 发消息
微信群：华夏病理-泌尿男性生殖
孔祥田(Max)*Sacramento*CA] 01-31 12:31
Share a today’s consult case with you: 50ish M multiple bladder lesions, TUR done. He had history of renal calculus followed for disseminated TB(military pattern on chest X-RAY, renal cortical scarring with sterile pyuria, urine AFB smear positive). Cystoscope: multiple papillary lesions occupying 50% of the bladder. Your Dx?
孔祥田(Max)*Sacramento*CA] 01-31 12:31
孔祥田(Max)*Sacramento*CA] 01-31 12:31
孔祥田(Max)*Sacramento*CA] 01-31 12:31
孔祥田(Max)*Sacramento*CA] 01-31 12:31
孔祥田(Max)*Sacramento*CA] 01-31 12:31
孔祥田(Max)*Sacramento*CA] 01-31 12:31
孔祥田(Max)*Sacramento*CA] 01-31 12:31
孔祥田(Max)*Sacramento*CA] 01-31 12:31
End
MEI 01-31 13:26
nephrogenic adenoma
MEI 01-31 13:26
@孔祥田(Max)*Sacramento*CA]
孔祥田(Max)*Sacramento*CA] 01-31 14:02
Yes! This is a classic case for nephrogenic adenoma/metaplasia even though it is extensive under cystoscope. I just did pax8 and ki67 to confirm. The submitting pathologist did a pancytokeratin stain.
孔祥田(Max)*Sacramento*CA] 01-31 14:02
@MEI it’s too easy for you!
孔祥田(Max)*Sacramento*CA] 01-31 14:02
Above are pax8
孔祥田(Max)*Sacramento*CA] 01-31 14:02
孔祥田(Max)*Sacramento*CA] 01-31 14:02
孔祥田(Max)*Sacramento*CA] 01-31 14:02
孔祥田(Max)*Sacramento*CA] 01-31 14:02
孔祥田(Max)*Sacramento*CA] 01-31 14:03
孔祥田(Max)*Sacramento*CA] 01-31 14:03
Pancytokeratin
孔祥田(Max)*Sacramento*CA] 01-31 14:03
孔祥田(Max)*Sacramento*CA] 01-31 14:03
Ki-67, interpret with caution since the lymphocytes are positive too
孔祥田(Max)*Sacramento*CA] 01-31 14:03
End
郑州大学第二附属医院~胡桂明 01-31 14:19
后肾腺瘤，经典形态
郑州大学第二附属医院~胡桂明 01-31 14:19
肾源性腺瘤
郑州大学第二附属医院~胡桂明 01-31 14:20
经典
MEI 01-31 14:31
@孔祥田(Max)*Sacramento*CA] 谢谢孔老师分享好的病例！
标签：
×参考诊断
