病理報告顯示良性或惡性? - 醫療資訊

Table of Contents

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?




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All Comments

Skylar Davis avatarSkylar Davis2012-06-14
這題太專業了orz
Faithe avatarFaithe2012-06-15
WHO的定義是無法明確區分是良性或惡性,所以沒辦法回答
Michael avatarMichael2012-06-16
不負責任簡單回答:某些醫院惡性病理報告會印上"malignancy"
Cara avatarCara2012-06-18
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
Daph Bay avatarDaph Bay2012-06-18
我也是認為良惡性不明...術後須要繼續追蹤
Rebecca avatarRebecca2012-06-21
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~
Brianna avatarBrianna2012-06-24
向這種CASE不會開多科團隊討論會決定治療方針嗎!?