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小天 asked in 健康疾病與處置癌症 · 1 decade ago

請好心人幫我翻譯乳癌病理報告

Pathologic diagnosis:

Microinvasive papillary carcinoma---left breast; excision.

Gross Examination:

Specimen received, labelled as '' left breast tumor'', consists of two fragments of formalin fixed breast tissue, measuring 3.1X2.7X0.7 cm in size. A tumor nodule measuring 0.5X2.7X0.4 cm is seen.

Specimen is submitted totally for sections: A1-3

Microscopic Examination:

The sections reveal breast tissue with proliferations of monotonous epithelial cells forming solid nests and fused papillary structures. SMA positive myoepithelial cells are absent in most ducts. Some proliferative cells stain weakly for HMW CK. The high proliferative rate is demonstrated by staining for Ki-67 and the fequently seen mitotic figures. Microinvasions are found focally. Mucinous stroma and cells with mucin vacuoles are also noted.

Heterogeneously dense breast parenchyma.

Liver: Smooth hepatic surface, homogeneous parenchymal echogenicity, SOL(-)

1 Answer

Rating
  • singer
    Lv 6
    1 decade ago
    Favorite Answer

    那麼,還是由我翻譯吧...

    病理診斷:

    左側乳癌,分化型態為:微小侵犯的乳突狀癌.

    *註:微小侵犯的定義有好幾個,但其意義在讓我們了解

    乳癌細胞在顯微鏡下可看到侵犯乳腺管外的正常組織

    的現象.(這裡若有誤,請其他醫師指正,謝謝)

    標本的巨觀(只由肉眼而非顯微鏡檢查)描述:

    這個病理標本,被標示為左側乳癌,包含了兩小塊組織,

    泡於福馬林中,大小約為 3.1x2.7x0.7(立方公分),裡面

    發現一個小結節,大小為0.5x2.7x0.4(立方公分).

    *註:這裡面重複的數字是2.7,那麼我們會想說是否仍有

    殘存癌細胞.

    上述標本已做病理切片檢查,分別標示為A1-3.

    顯微鏡下發現:

    切片標本顯示,乳房組織呈現單一的上皮細胞增生現

    象,形成了固態巢狀融合的乳突狀結構.平滑肌肌動蛋白

    (smooth muscle actin, SMA)陽性的肌上皮細胞(指排乳

    管)在此標本大多沒看到(意為多為陰性).有些增生細胞

    經由HMW CK染色呈弱陽性反應(這個染色您大概不需要了

    解).乳癌細胞的高度增生速率,可經由Ki-67染色與頻繁

    的有絲分裂而得知.我們也發現局部有微小侵犯的現象,

    並看見黏液狀的基質,以及含有黏液空泡的細胞.

    乳房實質呈現異質性密度.

    接下來 Liver:這一段,我認為是超音波報告,不是病理報

    告,它講的是肝臟表面平滑,超音波回音同質性的肝實質,

    最後的縮寫SOL目前看不出是什麼非正統的縮寫,可能要

    回去問打報告的人才知道.

    Source(s): 或許會進行乳房保留手術
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