2017整理乳腺癌.6.6.ppt

  1. 1、本文档共33页,可阅读全部内容。
  2. 2、原创力文档(book118)网站文档一经付费(服务费),不意味着购买了该文档的版权,仅供个人/单位学习、研究之用,不得用于商业用途,未经授权,严禁复制、发行、汇编、翻译或者网络传播等,侵权必究。
  3. 3、本站所有内容均由合作方或网友上传,本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺!文档内容仅供研究参考,付费前请自行鉴别。如您付费,意味着您自己接受本站规则且自行承担风险,本站不退款、不进行额外附加服务;查看《如何避免下载的几个坑》。如果您已付费下载过本站文档,您可以点击 这里二次下载
  4. 4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等,请点击“版权申诉”(推荐),也可以打举报电话:400-050-0827(电话支持时间:9:00-18:30)。
查看更多
2017整理乳腺癌.6.6

Breast Cancer 2011.6.6 Introduction Most common female cancer最常见的女性癌症 Accounts for 32% of all female cancer占所有女性癌症的32% 211,300 new cases yearly and rising每年新增211,300个病例 40,000 deaths yearly每年40,000人死亡 Gross Anatomy大体解剖 Microscopic Anatomy显微解剖 Stromal tissue基质组织 Connective tissue, capillaries, lymphocytes, etc.结缔组织,毛细血管,淋巴细胞等 Adipose tissue脂肪组织 Ductal tissue乳腺导管组织 Squamous epithelium鳞状上皮细胞 Columnar or cuboidal epithelium柱状或立方形 上皮 Lobular tissue小叶组织 Presentation Breast lump乳房肿块 Abnormal mammogram乳房X光检查异常 Axillary lympadenopathy腋窝淋巴结病变 Metastatic disease转移性疾病 Screening Mammography乳房摄影筛检 Recommendations建议 Biannually or annually in 40-49 y/o每半年或每年在40-49年 Annually in 50 y/o每年在“50 15% relative risk reduction相对危险度减少15% Birads分级 0 - Incomplete assessment; need additional imaging evaluation 1 - Negative; routine mammogram in 1 year recommended 2 - Benign finding; routine mammogram in 1 year recommended 3 - Probably benign finding; short-term follow-up suggested (3%) 4 - Suspicious abnormality; biopsy should be considered (30%) 5 - Highly suggestive of malignancy; appropriate action should be taken (94%) Biopsy techniques活检技术 FNA Diagnostic and therapeutic in cystic lesions囊性病变的诊断和治疗 Core needle粗针 U/S guided or sterotatic 90% effective in establishing diagnosis 90%,在建立有效的诊断 Atypia – need excision异型性- 需要切除 Sterotatic Needle localization细针定位 Excision biopsy切除活检 Risk of Future Invasive Breast Carcinoma Based on Histologic Diagnosis from Breast Biopsies未来浸润性乳腺癌的风险基于活检病理诊断乳腺癌 No Increase Adenosis Apocrine metaplasia Cysts, small or large Mild hyperplasia (2 but 5 cells deep) Duct ectasia Fibroadenoma Fibrosis Mastitis, inflammatory Periductal mastitis Squamous metaplasia 腺病顶浆化生囊肿,小型或大型轻度增生(“2,但5细胞深)导管扩张症纤维腺瘤纤维化乳腺炎,鳞状上皮化生乳腺炎炎症Periductal Slightly Increased (relative risk, 1.5–2) Moderate or florid hyperplasia, solid or papillary Duct papilloma with fibrovascular core Sclerosing adenosis, well-developed 中度或华丽的增生,乳头状与固体或纤维血管硬化性腺病导管内乳头状瘤的核心,发达的 Moderately Increased (relative r

文档评论(0)

love1987421 + 关注
实名认证
内容提供者

该用户很懒,什么也没介绍

1亿VIP精品文档

相关文档