作者k8187 (kk)
看板Anti-Cancer
标题[问题] 乳房切片报告
时间Sat Jun 22 06:59:55 2024
上次询问过乳房钙化问题,後续进行了乳房钙化穿刺手术,刚刚看到健保快易通已经有病
理报告..想问问看受否就是原味癌,谢谢
Breast, left, Not specifiedwire-localized excision ----- Ductal carcinoma in s
itu AJCC 8th Pathological stage: 0 (pTis Nx)GROSS D: The specimen submitted is
a left partial mastectomy specimen, measuring 4.7 x 3.2 x 1.2 cm, and one hoo
k. After multiple sections, no obvious tumor is noted. All for secitons and la
beled as: 1-3.MICRO D: Fixation time: hours (6-72 hours) Procedure: Wire-local
ized excision Specimen laterality: Left Tumor site: Not specified Histologic t
ype: Ductal carcinoma in situ Estimated size (extent) of DCIS: Number of block
s with DCIS: 2; Number of blocks examined: 3 Archiecture pattern: Non-comedo (
cribriform, solid, papillary) Nuclear grade: Grade II (intermediate) Necrosis:
Present, focal (small foci or single cell necrosis) Nipple epidermis invasion
: No nipple present Margins: Uninvolved Distance from closest margin (peripher
al margin): <1 mm Microcalcifications: Not identified Pathologic staging: 0 (
pTis Nx)
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1F:推 hyperboy1092: 是原位癌 06/22 11:44
2F:→ k8187: 谢谢h大回文,找了网路资料病理报告边缘建议距离肿瘤部份达 06/22 13:22
3F:→ k8187: 1 公分以上,我们这个报告好像低於一公分 06/22 13:22
4F:推 a1010: 预计何时回诊? 06/22 16:54
5F:→ k8187: 7/1 06/22 17:01
6F:推 hyperboy1092: 接下来需要做前哨淋巴结切片与边缘再切除 06/22 17:25
7F:推 frgthy: 只有穿刺的话,还会再做切除的 06/22 17:58
8F:推 frgthy: 切除後可能还要放射治疗跟荷尔蒙治疗 06/22 18:00
9F:→ k8187: 谢谢各位的建议,後面会等回诊时再和医师讨论..这跟七年前 06/22 18:20
10F:→ k8187: 的肺腺原位癌切除後,就只有追踪,差别很大.. 06/22 18:20
11F:推 a1010: K大不要担心,因为乳房附近很多淋巴系统,所以相对其他部 06/22 22:01
12F:→ a1010: 位会比较需要注意,但若先判定原味,会有乳房有部分割除或 06/22 22:01
13F:→ a1010: 全部切除的考量,可以跟医生好好的讨论 06/22 22:01
14F:→ k8187: 谢谢a大的建议,我们回诊时会跟医师再讨论的,目前是先了 06/22 22:24
15F:→ k8187: 解相关的治疗选项 06/22 22:24
16F:推 Euglena: 原位癌,离边缘最近处小於1 mm。 06/23 13:11
17F:→ k8187: 今天回诊了~确定是原位癌~医生说明基本上手术後~就是直接做 07/01 13:14
18F:→ k8187: 放射治疗~至於贺尔蒙治疗要等报告出来看看需不需要~至於前 07/01 13:14
19F:→ k8187: 哨淋巴的部分!因为原位癌~所以不太有扩散问题~後面就是等 07/01 13:15
20F:→ k8187: 放射治疗!因为在左胸!所以选择呼吸调控+影像导引~20次 07/01 13:16