[問題] 乳房切片報告
上次詢問過乳房鈣化問題,後續進行了乳房鈣化穿刺手術,剛剛看到健保快易通已經有病理報告..想問問看受否就是原味癌,謝謝
Breast, left, Not specifiedwire-localized excision ----- Ductal carcinoma in situ 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 hook. After multiple sections, no obvious tumor is noted. All for secitons and labeled as: 1-3.MICRO D: Fixation time: hours (6-72 hours) Procedure: Wire-localized excision Specimen laterality: Left Tumor site: Not specified Histologic type: Ductal carcinoma in situ Estimated size (extent) of DCIS: Number of blocks 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 (peripheral margin): <1 mm Microcalcifications: Not identified Pathologic staging: 0 (pTis Nx)
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是原位癌
謝謝h大回文,找了網路資料病理報告邊緣建議距離腫瘤部份達
1 公分以上,我們這個報告好像低於一公分
預計何時回診?
7/1
接下來需要做前哨淋巴結切片與邊緣再切除
只有穿刺的話,還會再做切除的
切除後可能還要放射治療跟荷爾蒙治療
謝謝各位的建議,後面會等回診時再和醫師討論..這跟七年前
的肺腺原位癌切除後,就只有追蹤,差別很大..
K大不要擔心,因為乳房附近很多淋巴系統,所以相對其他部
位會比較需要注意,但若先判定原味,會有乳房有部分割除或
全部切除的考量,可以跟醫生好好的討論
謝謝a大的建議,我們回診時會跟醫師再討論的,目前是先了
解相關的治療選項
1
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首Po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
25
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