| 图片： | |
|---|---|
| 名称： | |
| 描述： | |
- 腹水涂片004
-
liguoxia71 离线
- 帖子：4174
- 粉蓝豆：3122
- 经验：4677
- 注册时间：2007-04-01
- 加关注 | 发消息
-
lfl001200546 离线
- 帖子：2808
- 粉蓝豆：40
- 经验：2808
- 注册时间：2007-02-14
- 加关注 | 发消息
-
I may be a minority in my conservative approach in this case - I cannot exclude the possibility that these cells seen are reactive mesothelia. Over my years of practice, I have learned to respect the degree of atypia that could be seen in reactive mesothelia. Are there more atypical cells with large nuclei and high nucleocytoplasmic ratios?
聞道有先後,術業有專攻
Agree with 11 floor.
Only the first photo shows "tissue fragment" which is suggestive of carcinoma. I will never make a positive diagnosis based on these 2 groups. As i wrote in another case of chest fluid, reactive mesothelial cells sometimes have strikign atypia and brisk mitoses.
-
I am more interested in those background cells from the first slide. Can you focus on those background cells with signet ring like features and add couple more photos on this case?
I agree with Drs. Ma and Fu that the differential dx here is realy between reactive mesothelial cells vs mesothelioma-like carcinoma. The overall impression is probably more important that a few groups provided here.
- 不坠青云之志，长怀赤子之心
