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- 这可以诊断乳腺癌侵犯皮肤吗？
| 性别 | 女 | 年龄 | 52 | 临床诊断 | |
|---|---|---|---|---|---|
| 一般病史 | 发现乳腺肿物。 | ||||
| 标本名称 | 乳腺肿物。 | ||||
| 大体所见 | 乳腺肿物。 | ||||
这可以诊断乳腺癌侵犯皮肤吗？标准是什么？
名称：图1
描述：IMG_1959
名称：图2
描述：IMG_1960
标签：诊断 乳腺癌 皮肤
- 病理，让疾病明明白白。
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本帖最后由 老山羊 于 2014-09-29 22:31:45 编辑
本病例肿瘤侵犯真皮和皮下，但不伴皮肤溃疡，不改变T分期。请参考以下文献：
Reference:CAP Protocol for the Examination of Specimens From Patients With Invasive Carcinoma of the Breast, 2013
Macroscopic and Microscopic Extent of Tumor (required only if the structures are present and involved)
(select all that apply) (Note I)
Skin
___ Invasive carcinoma directly invades into the dermis or epidermis without skin ulceration (this does
not change the T stage)浸润性癌直接侵犯真皮或表皮，不伴皮肤溃疡（不改变T分期）
___ Invasive carcinoma directly invades into the dermis or epidermis with skin ulceration (classified as
T4b)浸润性癌直接侵犯真皮或表皮，伴皮肤溃疡（归类为T4b）
___ Satellite skin foci of invasive carcinoma are present (ie, not contiguous with the invasive carcinoma
in the breast) (classified as T4b)可见浸润性癌的皮肤卫星病灶（即：与乳腺中的浸润癌不连续）（归类为T4b）
Note: Satellite skin foci are typically due to dermal lymph-vascular invasion. The original definition referred to
macroscopically clinically evident foci. The clinical significance of satellite skin foci only identified microscopically
has not been studied.
引用 3 楼 老山羊 在 2014-09-29 22:28:32 的发言:
本病例肿瘤侵犯真皮和皮下，但不伴皮肤溃疡，不改变T分期。请参考以下文献：
Reference:CAP Protocol for the Examination of Specimens From Patients With Invasive Carcinoma of the Breast, 2013
Macroscopic and Microscopic Extent of Tumor (required only if the structures are present and involved)
(select all that apply) (Note I)
Skin
___ Invasive carcinoma directly invades into the dermis or epidermis without skin ulceration (this does
not change the T stage)浸润性癌直接侵犯真皮或表皮，不伴皮肤溃疡（不改变T分期）
___ Invasive carcinoma directly invades into the dermis or epidermis with skin ulceration (classified as
T4b)浸润性癌直接侵犯真皮或表皮，伴皮肤溃疡（归类为T4b）
___ Satellite skin foci of invasive carcinoma are present (ie, not contiguous with the invasive carcinoma
in the breast) (classified as T4b)可见浸润性癌的皮肤卫星病灶（即：与乳腺中的浸润癌不连续）（归类为T4b）
Note: Satellite skin foci are typically due to dermal lymph-vascular invasion. The original definition referred to
macroscopically clinically evident foci. The clinical significance of satellite skin foci only identified microscopically
has not been studied.
- 博学之，审问之，慎思之，明辨之，笃行之。
