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姓 名: | ××× | 性别: | F | 年龄: | 49 |
标本名称: | Breast excisional biopsy (乳腺切除活检) | ||||
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肉眼检查: |
Microscopically it is a 0.8 cm lesion as photo.
Your diagnosis and differential diagnosis.
(镜下病变直径0.8cm,如图。请诊断和鉴别诊断)
以下是引用天山望月在2008-12-15 21:39:00的发言:
个人感觉: 仅从细胞图片看,有时不易诊断小管癌,需与导管内乳头状瘤或癌、DCIS、低级别的浸润性导管癌、淋巴瘤等鉴别。组织切片和免疫组化有助诊断。 不知对否?请赵老师点评!谢谢! |
You are right.
Like other low grade ca, TC is very difficult to make dx in FNA cytology, especially from the benign lesions. It is important you can call atypia and require core biopsy. Cell block may be helpful, but not IHC.