本帖最后由 pathology 于 2016-9-29 12:21 编辑
本周病例(2016.8.22—2016.8.28)
1、你考虑什么诊断?
子宫内膜样腺癌(索状+透明变性型)(Endometrioid adenocarcinoma, corded and hyalinizing pattern)
2、需要做什么鉴别诊断?
癌肉瘤(MMMT)、子宫性索样肿瘤、上皮样平滑肌肉瘤、卵巢性索样子宫内膜样癌累及等
3、本病预后如何?
本病多数诊断时为临床I期,完整子宫切除后预后较好。
Ref:
https://www.ncbi.nlm.nih.gov/pubmed/?term=15644772
Endometrioid carcinomas of the uterine corpus with sex cord-like formations, hyalinization, and other unusual morphologic features: a report of 31 cases of a neoplasm that may be confused with carcinosarcoma and other uterine neoplasms. Am J Surg Pathol. 2005 Feb;29(2):157-66.
-----------------------------------------
本期病例比较少见,结合临床病史、组织学形态,辅以免疫组化则不难诊断。综合回答思路,fusuyong加一分,派瑞松累积半分,whh1972鲜花鼓励!
希望大家一如既往的支持病理每周一题, |