作者puck100 (peggy)
看板Anti-Cancer
標題[問題]請幫忙看病理報告,謝謝
時間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.
因為是用微創手術取樣
請問是否還要外科手術切除較大範圍化驗?
謝謝
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1F：推 flyingturtle: 怪怪的，建議再開大一點 08/17 23:42
2F：推 a1010: 看組織醫生怎麼說，畢竟有黏液這個負面因子 08/18 23:56
3F：→ a1010: 修正 看主治醫生 08/18 23:56
4F：推 Sunda: 用微創(VABB)開到有ADH (異常乳管增生/癌前病變)，要再次大 08/19 21:49
5F：→ Sunda: 一點範圍的傳統手術切片，確定病灶邊緣都是乾淨.. 再次手術 08/19 21:50
6F：→ Sunda: 可能有接近1/4機率會升級成DCIS(原位癌)或以上.. 08/19 21:51
7F：→ puck100: 今天已經回診了，就像S大說的那位，我影像科看完後同一天 08/21 21:42
8F：→ puck100: 乳外醫師剛好也有診，直接安排下周手術了。 08/21 21:44
9F：→ puck100: 我家得乳癌的是父親，所以他一確診後我就開始定期追蹤， 08/21 21:46
10F：→ puck100: 有詢問過醫師他不建議做基因檢測，一來花錢二來會給心理 08/21 21:48
11F：→ puck100: 壓力，不過每次定期追蹤的報告越來越不理想，直接這次癌 08/21 21:49
12F：→ puck100: 前病變產生 08/21 21:50