h***o
发帖数: 350 | 1 乳腺癌的病理诊断会有可能出错吗？临床表现和B-超是breast cyst, but pathology
reports said it was invasive ductual carcinoma (IDC), grade 3. 手术后病理:
tumor (IDC) 5cm, Sentinel lymph node negative. Is it common for a big size
tumor with negative lymph node? need to examine another lymph node?
Thank you |
m******2
发帖数: 27 | 2 IDC的诊断一般不会出错，因为镜下图像很明确，不是难诊断的病例，不过怀疑医生的
诊断，可以请求会诊。临床上大体积的乳腺肿瘤哨位淋巴结也可以是阴性。 |
b*******t
发帖数: 78 | 3 谢谢，如何请求会诊？Ask another pathologist to read the slide?
【在 m******2 的大作中提到】
: IDC的诊断一般不会出错，因为镜下图像很明确，不是难诊断的病例，不过怀疑医生的
: 诊断，可以请求会诊。临床上大体积的乳腺肿瘤哨位淋巴结也可以是阴性。
|
l*******d
发帖数: 449 | 4 病理诊断没问题，Sentinel lymph node 不好说。手术问题？切片问题？ |
h***o
发帖数: 350 | 5 Largebird, 能不能讲讲为什么Sentinel lymph node 不好说？ 手术前注射了
radioactive material, 手术中医生通过radioactive material找到离肿瘤最近的
lymph node, 并把它切除下来.
does Sentinel lymph node check have high rate of false negative?
【在 l*******d 的大作中提到】
: 病理诊断没问题，Sentinel lymph node 不好说。手术问题？切片问题？
|
l*******d
发帖数: 449 | 6 The greatest concern with SLNB is the potential of a false negative result,
which could increase the potential for axillary recurrence. However, despite
the approximately 5 to 10 percent false negative rate with SLNB found in
studies in which completion ALND has been done, several series suggest that
axillary recurrence rates are low after a negative SLNB alone in early stage
breast cancer (range 0 to 4.5 percent) [17-27].
http://www.uptodate.com/contents/sentinel-lymph-node-biopsy-for |
