欢迎来到天天文库
浏览记录
ID:52938355
大小:1.80 MB
页数:9页
时间:2020-04-02
《[英文原版 乳腺 外科] 9 Reading the Pathology Report.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、9ReadingthePathologyReportHISTOLOGYTUMORSIZEInvasiveDuctalCarcinomaMARGINSTATUSInvasiveLobularCarcinomaTubularCarcinomaGRADECribriformCarcinomaHORMONERECEPTORANDMedullaryCarcinomaHER-2/NEUEXPRESSIONMucinousCarcinomaLYMPHOVASCULARINVASIONPapillaryCarcinomaSecretoryCarcinomaEXTENSIVEINTRADUC
2、TALMetaplasticCarcinomaCOMPONENTOtherFormsofBreastCancerReadingthePathologyReport:KeyPointsBefamiliarwiththedifferentsubtypesofinvasivebreastcancerandtheimplicationsonsurgicalmanagement.Knowhowmarginsareassessedandtheneedforreexcisionforeitheracloseorpositivemargin.Understandhowtumorsize,g
3、radeandotherhistologicfeaturesmayimpactsurgicaloradjuvanttherapy.Althoughtherearemanyimportantrelation-reportdependsuponafirmgraspoftheshipsamongthevariousmembersofthesurgicalprocedureperformed.Tosucceed,thisbreastcancermultidisciplinaryteam,therela-relationshiprequiresexcellentcommunica-t
4、ionshipbetweenthesurgeonandthepathol-tion,includingtheaccuratelabelingofspeci-ogistisauniqueone.Thetwoarecloselytiedmens,theproperorientationofspecimens,becausethesuccessofsurgicaltherapyisandpossiblythepresenceofthesurgeonindependentupontheaccuracyofthepathologythepathologylaboratorytohel
5、pfacilitatethereport,andtheaccuracyofthepathologyprocess.123124SURGICALFOUNDATIONS:ESSENTIALSOFBREASTSURGERYHistologyThefirstquestionwhenonereceivesapathol-ogyreportbackafterabiopsyiswhattypeofcanceristhis?Specificallyisthisinsituorinvasivediseaseandwhattypeofinvasivecancerisit?Thepatholog
6、yofinsitudiseaseisdiscussedinChapter11.Forinvasivecan-cers,thetwomostcommonhistologictypesareinvasiveductalandinvasivelobular.How-ever,therearemanyothersubtypesthatmayhavedifferentimplicationsintermsofsurgicaloradjuvanttherapy(Box9–1).InvasiveDuctalCarcinomaFigure9–1.Histologyofinvasiveduc
7、talcarcinoma.ThecancercellsformglandularstructureswithInvasiveductalcarcinomaisthemostcom-cellularandnuclearpleomorphism.Thesenestsinfil-montypeofinvasivebreastcancer.Tumorstratethesurroundingbreasttissueinahaphazardcanbeeitherpureinvasiveductalcarcinoma,fashi
此文档下载收益归作者所有