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vingttyois sj 左枕颞肿块

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楼主 发表于 2008-04-20 16:50|举报|关注(0)
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姓    名: ××× 性别:  男 年龄:  32
标本名称:  左枕颞肿块
简要病史:  头痛三月
肉眼检查:  肿块最大径5厘米
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本帖最后由 于 2008-04-25 09:15:00 编辑
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朱正龙

×参考诊断
少枝三级

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1 楼    发表于2008-04-27 00:00:00举报|引用
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以下是引用mjma在2008-4-26 10:56:00的发言:

Thank you for uploading more photos of better quality. Without necrosis, vascular/endothelial proliferation or mitotic figures, this neoplasm is a mystery to me - not PNET or glioblastoma. I do not think it qualifies as an oligodendroglioma or a lymphoma. Could this be a neurocytoma? Not likely. I will have to study the glass slide(s) to know what it might be. Sorry.  

Some senior pathologists in our province believe it to be anaplastic oligodendroglima because of its clear defined cytoplasm psamoma calcified body.but I think it may be an interesting case.So I seek help from you.Thank you for your consultation!
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2 楼    发表于2008-04-26 10:56:00举报|引用
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Thank you for uploading more photos of better quality. Without necrosis, vascular/endothelial proliferation or mitotic figures, this neoplasm is a mystery to me - not PNET or glioblastoma. I do not think it qualifies as an oligodendroglioma or a lymphoma. Could this be a neurocytoma? Not likely. I will have to study the glass slide(s) to know what it might be. Sorry.  
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聞道有先後,術業有專攻

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3 楼    发表于2008-04-25 08:47:00举报|引用
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 重新上传清晰的图象.请各位老师继续点评图象是否符合要求
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4 楼    发表于2008-04-24 12:09:00举报|引用
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 Are there necrosis, vascular/endothelial proliferation, or readily seen mitotic figures? Are there rosettes of any kind?

Answer:First of all ,thank you for consulting my uploaded case.Because it is not my case but a consultant case. So no more detail can be provided. Sorry! Please forgive me. As for your above questions,I would say no necrosis and endothelial proliferation.no mitotic figures and roseetes of any kind.some cells have clear and defined cell mebrane whihc remind somebody of 少枝.但有的地区间变很厉害.所以大家讨论的意见考虑是否为间变性少枝

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5 楼    发表于2008-04-24 10:56:00举报|引用
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It is too bad that some of the photos were taken out of focus. I could not identify nucleoli, chromatin pattern, nuclear membrane or mitotic figure at all. Could you try to take more photos of better quality and upload to share with us?

The neoplasm consists of a relatively uniform population of small cells with little cytoplasm and no distinctive features of differentiation. Calcification is present. Are there necrosis, vascular/endothelial proliferation, or readily seen mitotic figures? Are there rosettes of any kind? Without perivascular arrangement, I would not favor lymphoma. More worthy of consideration would be a primitive neuroectodermal tumor (PNET) and a small cell glioblastoma. Immunostains are needed for clarification, to include CD45, AE1, synaptophysin, NSE, GFAP and MIB-1. Look forward to hearing more about this case.

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6 楼    发表于2008-04-23 22:13:00举报|引用
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 尚需鉴别淋巴造血系统肿瘤
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“人生没有彩排,每一天都是现场直播”

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7 楼    发表于2008-04-23 17:25:00举报|引用
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 少枝三级还是纤维粘液样胶质瘤
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