[請益] 病理報告顯示良性或惡性?

看板Doctor-Info作者 (想不到暱稱...)時間12年前 (2012/06/11 21:01), 編輯推噓3(304)
留言7則, 5人參與, 最新討論串1/1
前幾天讀到一份病理檢驗報告, DIAGNOSIS: Smooth muscle tumor of uncertain undetermined malignant potential(STUMP), myomectomy. GROSS DESCRIPTION: The specimen is composed of muitiple pieces od tan tissue. measuring up to 11 x 8 x 7 cm and weights 171 gm. Representative sections are subbmitted in 12 cassettes. MICROSCOPIC DESCRIPTION: Sections show moderate cellularity and diffusely modernte nuclear atypia. However,the mitotic count is less than 1 per 10 HPF.Coagulated necrosis is not present.Smooth muscle tumor of certain undetermined malignant potential (STUMP) is considered. 依病理診斷為『惡性度不確定平滑肌瘤』,有絲分裂細胞數目<1/10 HPF。試問臨床上 判定該病理傾向良性或惡性? -- ※ 發信站: 批踢踢實業坊(ptt.cc) ◆ From: 114.27.99.84

06/11 21:23, , 1F
這題太專業了orz
06/11 21:23, 1F

06/11 22:06, , 2F
WHO的定義是無法明確區分是良性或惡性,所以沒辦法回答
06/11 22:06, 2F

06/12 00:15, , 3F
不負責任簡單回答:某些醫院惡性病理報告會印上"malignancy"
06/12 00:15, 3F

06/12 00:16, , 4F
大章 看病理科有沒有蓋XD 但這診斷暗示進展至惡性的可能
06/12 00:16, 4F

06/12 13:45, , 5F
我也是認為良惡性不明...術後須要繼續追蹤
06/12 13:45, 5F

06/12 13:46, , 6F
問題是聽說這個病患被安排術後開始接受化療放療,傻眼了我~
06/12 13:46, 6F

06/13 16:48, , 7F
向這種CASE不會開多科團隊討論會決定治療方針嗎!?
06/13 16:48, 7F
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