BILATERAL BREAST ULTRASOUND
The parenchymal echopattern of both breasts is normal.
A well-defined hypoechoic nodule with lobular margins measuring 1.26 x 1.33 x 0.68cm in size(L x W x AP)is noted at 4 o'clock position of the right breast, 3cm from nipple, corresponding to the clinically palpable lesion.
No increase in vascular flow is detected.
No other focal mass can be detected in both breasts.
The retromammary tissue planes are intact.
No skin thickening or nipple retraction could be detected on both sides.
The axillary regions are unremarkable.
A lobular hypoechoic nodule at 4 o'clock position of the right breast corresponding to the palpable lesion is detected.
ULTRASOUND GUIDED FNA OF RIGHT BREAST NODULE
Ultrasound guided fine needle aspiration of the palpable hypoechoic nodule with lobular margins at 4 o'clock position of the right breast 3cm from nipple was performed with a 19 gauge needle.
No immediate complication.
Whitish material was aspirated.
The specimen was sent for cytological examination.
Pathology revealed ductal carcinoma with mucinous features.
Additional evaluation with mammogram is recommended.
MACROSCOPIC EXAMINATION :
Received is 7 mL of straw-coloured turbid rinsing fluid.
MICROSCOPIC EXAMINATION :
The cytospin preparation and cell block sections of the right breast aspirate show moderate number of suspicious ductal cells arranged in cohesive clusters or isolation, amongst some mucinous material in the background (Figure 1). These ductal cells show mild degree of nuclear pleomorphism and contain enlarged hyperchromatic nuclei, indistinct nucleoli and sometimes vacuolated cytoplasm. Mitotic figures are demonstrated. The overall features are consistent with low-grade ductal carcinoma with mucinous features (pure versus mixed). Advise excision for thorough histological assessment and definitive tumour typing.
- 9 年前最愛解答
"The overall features are consistent with low-grade ductal carcinoma with mucinous features (pure versus mixed). Advise excision for thorough histological assessment and definitive tumour typing"
對不起, 跟據以上的結果寫,你有低度惡性乳腺原位癌, 是惡性, 建議做手術切除. 以上報告沒有講第幾期.