作者puck100 (peggy)
看板Anti-Cancer
标题[问题]请帮忙看病理报告,谢谢
时间Sat Aug 17 23:12:42 2024
Breast labeled as ”with calcification” left mammotome mucocele-like lesion
with atypical ductal hyperplasia at least (see comment) Breast labeled as ”
without calcification” left mammotome benign breast tissue MACROSCOPE
Specimen ”with calcification” * Size: four fragments up to 1.5 x 0.3 x 0.3
cm Specimen ”without calcification” * Size: 5 fragments up to 2 x 0.2 x 0.2
cm All for section and labeled as: Jar 0 A: ”with calcification” B: ”
without calcification” MICROSCOPE Microscopically section A shows a
mucocele-like lesion with focal atypical ductal hyperplasia and
microcalcifications. However some worrisome features such as mucin
extravasation is seen. More severe lesion such as ductal carcinoma in situ or
invasive carcinoma with mucin production cannot be excluded. Please correlate
with image studies. Section B shows benign breast tissue with one dilated
cyst. Otherwise it is unremarkable.
因为是用微创手术取样
请问是否还要外科手术切除较大范围化验?
谢谢
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1F：推 flyingturtle: 怪怪的，建议再开大一点 08/17 23:42
2F：推 a1010: 看组织医生怎麽说，毕竟有黏液这个负面因子 08/18 23:56
3F：→ a1010: 修正 看主治医生 08/18 23:56
4F：推 Sunda: 用微创(VABB)开到有ADH (异常乳管增生/癌前病变)，要再次大 08/19 21:49
5F：→ Sunda: 一点范围的传统手术切片，确定病灶边缘都是乾净.. 再次手术 08/19 21:50
6F：→ Sunda: 可能有接近1/4机率会升级成DCIS(原位癌)或以上.. 08/19 21:51
7F：→ puck100: 今天已经回诊了，就像S大说的那位，我影像科看完後同一天 08/21 21:42
8F：→ puck100: 乳外医师刚好也有诊，直接安排下周手术了。 08/21 21:44
9F：→ puck100: 我家得乳癌的是父亲，所以他一确诊後我就开始定期追踪， 08/21 21:46
10F：→ puck100: 有询问过医师他不建议做基因检测，一来花钱二来会给心理 08/21 21:48
11F：→ puck100: 压力，不过每次定期追踪的报告越来越不理想，直接这次癌 08/21 21:49
12F：→ puck100: 前病变产生 08/21 21:50