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以下是引用quhong在2009-6-14 10:28:00的发言: The hallmark of the prostate carcinoma is prominent nucleolus. There are no prominent nucleoli in these glands. The nuclei appear vesicular. The background has dense lymphocytic infiltration. It should be extremely cautious to interpret this biopsy. Nuclear pleomorphism is often seen in the epithelium of seminal vesicle or ejeculatory duct. In short, I favor reactive or metaplastic change. The patient should be followed up with PSA. 前列腺癌的组织学特征是明显的大核仁,该病例腺体上皮细胞中无明显的大核仁,而背景中见密集的淋巴细胞浸润,所以该病例的诊断要谨慎。细胞核的多形性常常出现在精囊腺和射精管上皮细胞。总之,我更倾向反应性或化生性改变。该患者应随访PSA。 (天天田田译) |
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