Re: [問題] 可否幫忙看一下切片檢查報告

[dick2008 (嘖嘖)]

後續的病理報告也出來了，不知道有沒有人能幫忙解說一下，謝謝。看起來好像不太樂觀
？

Pancreas, labeled as "P1"; endoscopic
ultrasound fine-needle biopsy (EUS
FNB): Necrosis (in favor of tumor
necrosis).2. Pancreas, labeled as "P2';
EUS FNB: Adenocarcinoma, poorly
differentiated, with focal necrosis.3.
Pancreas, labeled as
"P3"; US FNB:
Necrosis (in favor of tumor
necrosis).GROSS FINDING: The
specimens submitted in the formalin-
fixed state consist of three parts: 1) a
tissue clump measuring 0.9 x 0.9 x 0.1
cm in aggregate and labeled "P1"
(cassette 1)2) a tissue clump measuring
0.9 x 0.9 x 0.1 cm in aggregate and
labeled "P2' (cassette 2)3) a tissue
clump measuring 0.4 x 0.3 x 0.1 cm in aggregate and labeled "P3" (cassette
3) Submitted in toto and labeled as
above.MICROSCOPIC FINDING:-
Section 2 reveals a proliferation of
atypical epithelial cells with a high
nucleocytoplasmic ratio, and the
neoplastic cells have polygonal
hyperchromatic nuclei. Part of the
tumor shows coagulative necrosis,
fibrin deposition, and neutrophilic
infiltration.- Sections 1 and 3 display
necrotic cells mixed with debris, fibrin,
and leukocytes.

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推 Mithra: 第二個檢體是癌症 adenocarcinoma
推 lavender911: Adenocarcinoma叫腺癌 是胰臟採出來的 又叫胰腺癌
→ lavender911:  胰臟癌
→ dick2008: 看起來還是分化很差的癌症…
→ dick2008: 他這個是採三個檢體，但只有第二個是癌症嗎？其他的是
→ dick2008: 什麼意思？謝謝
推 peterch: 既然病理報告已出  就直接提早回診去看醫師怎麼說
→ dick2008: 好，已安排下週二回診，謝謝
推 triangle: 採三次檢體，第二次有確診癌症，第一次跟第三次拿到壞
→ triangle: 死的部位，有時候腫瘤比較大的時候，採檢到比較中間的
→ triangle: 部位會壞死
→ dick2008: 謝謝幫忙解釋，採三次的意義。不過原本期待是內分泌神經
→ dick2008: 瘤，看來比較傾向癌症了
推 nellyhuang: 根據報告結果顯示是第二個檢體分化差的胰臟腺癌 剩下
→ nellyhuang: 三個應該也是腫瘤 只是可能因為太大所以採樣的細胞大
→ nellyhuang: 部分都是壞死的腫瘤細胞
→ nellyhuang: 無論如何 胰臟腺癌的診斷是確定的
推 bi123: 這怎麼辦
→ dick2008: 好，謝謝各位專業人士的解釋。只能期待接下來的治療成
→ dick2008: 效了，謝謝