60 y/f with breast core biopsy

F1 4x

F2 10x

F3 20x

 漂亮的病例！

同意楼上二位意见。

 从免疫组化看，肌上皮并无明显增生，多为单层，但细胞异型和侵犯看不出来，符合管状腺瘤。

 For study purpose, show you some stains

p63,

smmhc

名称：图1
描述：图1

名称：图2
描述：图2

 结节状，密集的小腺管，肌上皮存在

可称为结节性腺病或腺病瘤

 adenomyoepithelial adenosis

or

adenomyoepithelioma with adenosis structure

肌上皮还是有增生。

最后看看Dr.Zhao什么意见。

  Benign, most likely tubular adenoma.

 Our dx:

腺肌上皮瘤, tubular type.

Comment:  腺肌上皮瘤. Mojority of 腺肌上皮瘤 are benign lesion, most of which either arise from papillomas or considered a variants of intraductal papillomas. A small number of chases arise from lobular proliferation or adenosis. The current case has an adenosis-like configuration, is benign.

 此例与管状腺瘤的区别及其治疗有何区别