作者dick2008 (啧啧)
看板Anti-Cancer
标题Re: [问题] 可否帮忙看一下切片检查报告
时间Thu Jul 28 17:18:38 2022
後续的病理报告也出来了，不知道有没有人能帮忙解说一下，谢谢。看起来好像不太乐观
？
Pancreas, labeled as "P1"; endoscopic
ultrasound fine-needle biopsy (EUS
FNB): Necrosis (in favor of tumor
necrosis).2. Pancreas, labeled as "P2';
EUS FNB: Adenocarcinoma, poorly
differentiated, with focal necrosis.3.
Pancreas, labeled as
"P3"; US FNB:
Necrosis (in favor of tumor
necrosis).GROSS FINDING: The
specimens submitted in the formalin-
fixed state consist of three parts: 1) a
tissue clump measuring 0.9 x 0.9 x 0.1
cm in aggregate and labeled "P1"
(cassette 1)2) a tissue clump measuring
0.9 x 0.9 x 0.1 cm in aggregate and
labeled "P2' (cassette 2)3) a tissue
clump measuring 0.4 x 0.3 x 0.1 cm in aggregate and labeled "P3" (cassette
3) Submitted in toto and labeled as
above.MICROSCOPIC FINDING:-
Section 2 reveals a proliferation of
atypical epithelial cells with a high
nucleocytoplasmic ratio, and the
neoplastic cells have polygonal
hyperchromatic nuclei. Part of the
tumor shows coagulative necrosis,
fibrin deposition, and neutrophilic
infiltration.- Sections 1 and 3 display
necrotic cells mixed with debris, fibrin,
and leukocytes.
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1F：推 Mithra: 第二个检体是癌症 adenocarcinoma 07/28 17:37
2F：推 lavender911: Adenocarcinoma叫腺癌 是胰脏采出来的 又叫胰腺癌 07/28 18:11
3F：→ lavender911: 胰脏癌 07/28 18:11
4F：→ dick2008: 看起来还是分化很差的癌症… 07/28 18:15
5F：→ dick2008: 他这个是采三个检体，但只有第二个是癌症吗？其他的是 07/28 18:17
6F：→ dick2008: 什麽意思？谢谢 07/28 18:17
7F：推 peterch: 既然病理报告已出 就直接提早回诊去看医师怎麽说 07/28 18:38
8F：→ dick2008: 好，已安排下周二回诊，谢谢 07/28 18:59
9F：推 triangle: 采三次检体，第二次有确诊癌症，第一次跟第三次拿到坏 07/28 19:12
10F：→ triangle: 死的部位，有时候肿瘤比较大的时候，采检到比较中间的 07/28 19:12
11F：→ triangle: 部位会坏死 07/28 19:12
12F：→ dick2008: 谢谢帮忙解释，采三次的意义。不过原本期待是内分泌神经 07/28 19:49
13F：→ dick2008: 瘤，看来比较倾向癌症了 07/28 19:49
14F：推 nellyhuang: 根据报告结果显示是第二个检体分化差的胰脏腺癌 剩下 07/29 11:09
15F：→ nellyhuang: 三个应该也是肿瘤 只是可能因为太大所以采样的细胞大 07/29 11:09
16F：→ nellyhuang: 部分都是坏死的肿瘤细胞 07/29 11:09
17F：→ nellyhuang: 无论如何 胰脏腺癌的诊断是确定的 07/29 11:09
18F：推 bi123: 这怎麽办 07/29 15:04
19F：→ dick2008: 好，谢谢各位专业人士的解释。只能期待接下来的治疗成 07/29 17:30
20F：→ dick2008: 效了，谢谢 07/29 17:30