乳腺血管肿瘤良恶性问题ppt课件.pptVIP

月儿 mmm 知足常乐 sxzyy 小樱 猪猪 xianren  leee ;490918 hadi 马甲 高倍镜 风雨天使 持刀客 ;csgcsg sawu ;Vascular tumor of Breast ;Vascular tumor of Breast ;term;α;WHO 2003 classification of Tumours of the Breast ;1. Epithelial tumours;2. Myoepithelial lesions;3. Mesenchymal lesions;Breast Tumors with Vascular (and Pseudovascular) Differentiation ;Definition Very rare diffuse benign vascular process of the breast Alternate/Historical Names Diffuse angiomatosis Diagnostic Criteria Very rare, only five cases reported Do not make this diagnosis without consultation Diffuse process Surrounds ducts and lobules No invasion into lobules Large irregular vascular spaces No muscular wall May have occasional anastomoses Lined by flat endothelium without atypia May have both blood and lymphatic channels Differential Diagnosis Angiosarcoma Benign breast vascular lesions ;Angiosarcoma of the Breast ;Definition Benign vascular lesion of the breast large enough to be detected clinically Alternate/Historical Names Atypical hemangioma Capillary hemangioma Cavernous hemangioma Venous hemangioma ;Diagnostic Criteria ;Differential Diagnosis ;Angiosarcoma of the Breast;Hemangioma;Angiomatosis;Perilobular Hemangioma of the Breast ;Differential Diagnosis;Angiosarcoma of the Breast ;Perilobular Hemangioma;Definition Microscopic or clinically apparent breast lesion of variable cellularity featuring dense collegenous stroma punctuated by slit like spaces Alternate/Historical Names Nodular myofibroblastic stromal hyperplasia of the mammary gland Pseudoangiomatous hyperplasia of mammary stroma Diagnostic Criteria May be a circumscribed mass or microscopic incidental finding Dense hyalinized collagen bundles May expand intralobular stroma Surrounds ducts and lobules Usually circumscribed but merges with surrounding stroma Anastomosing pseudovascular slit like spaces punctuate collagen bundles No true vascular lining or structure No erythrocytes in spaces Spaces