[問題] 乳房切片報告請教
從健保快譯通得到的乳房切片報告
看起來確定是乳癌了
想請教是否看得出哪種類型的乳癌/幾期以及是否擴散？
感謝各位
Breast, right, 10 o'clock position/3 cm from nipple, core needle biopsy, ductal carcinoma in situ with invasions (invasive carcinomas and mucinous carcinoma)The specimen submitted consists of five tissue fragments measuring up to 1.7 x 0.1 x 0.1 cm in size, fixed in formalin. Grossly, they are gray and cordlike. All for section.Histologic type of right breast (10'/3) tumor: Mixed invasive carcinomas and mucinous carcinoma, some foci Histologic grade: Grade 1 (provisional in biopsy specimen) Tubule and
gland formation: < 10% (score: 3) Nuclear pleomorphism: Moderate (score: 1) Mitotic count: < 7/10 HPF (score: 1) Total score: 5 Histologic feature: Extensive spreading of ductal carcinoma in situ with some foci of invasions presenting infiltrative nests, strands and cords set in the sclerotic and desmoplastic stroma; presence of mucinous carcinoma Ductal carcinoma in situ (DCIS): Present Microcalcifications: Present in DCIS Peritumoral lymphovascular invasion: Not present in this small biopsy Perineural
invasion: Not present in this small biopsy Immunohistochemical stains (for invasions): p63: Loss of myoepithelial rimming Estrogen receptor (ER): < 1% Progesterone receptor (PR): < 1% HER2/neu protein: Positive, score 3+ Ki67 proliferation index: 5%
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切片報告沒辦法看出是第幾期，腫瘤大小跟是否擴散才是判
斷期別的依據，但這個要靠影像檢查才能知道
好的了解 感謝回覆
分化度很低的乳癌，或是預後很好的粘液性乳癌；分期從切
片看不出來。
看起來是黏液性的導管癌DCIS，一般來說屬於預後較好的種
類，但仍需要進一步檢查，需要注意的是ER/PR受體陰性而H
ER2陽性反應，需跟主治醫師討論是否需要使用標靶藥物
好的～感謝樓上兩位的回覆
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[問題] 可以幫忙看一下乳癌病理報告嗎？PATHOLOGICAL DIAGNOSIS: Breast, left 4/3, needle biopsy --- Atypical papillary tumor --- Ductal carcinoma in situ GROSS FINDING: The specimen fixed in forma lin consists of 3 strips of tissue, measuring 0.6x0.3x0.1 cm. The largest meas ures 0.6x0.1x0.1 cm. All for section in one block. Immunohistochemical stains for CK5, p40, estrogen receptor (ER) are done. (WYC) MICROSCOPIC FINDING: Sect1
[問題] 乳房切片報告大家好 這份報告看起來是乳癌 但麻煩大家看看細節 下次回診才好和醫生討論盡快處理 真的謝謝大家1
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