發問日期 | 2011年11月22日 |
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問題內容 | 下列是我的膀胱癌病理報告~CLINICAL DIAGNOSIS:Bladder cacer s/p TURBT and BCG treatment. TISSUE ORIGIN:Urinary bladder. PATHOLOGIC DIAGNOSIS:Urinary bladder, transurthal resection (TURBT): Tumor histology:CARCINOMA IN SITU. Histologic grade:low grade . Invasion:Tumor shows no definite invasion. LVI:no lymphovascular permeation. PNI:no perineural invasion. AJCC Stage(7th edition)pTis. GROSS: The specimen consists of 5 tissue fragments measuring from 0.1 to 0.6 cm.They are totally submitted in one cassette. MICROSCOPIC NOTES AND COMMNTS:Sctions show foci of malignant urothelial cells with enlarged and hyperchromatic nuclei spreading along the basal portion of the urothelial mucosa.there are no definite stromal invastion noted. IMMUNOHISTOCHEMICAL STUDY:The section S11-10783 is stained by applying 3 antibodies against Cytokeratin 20 (Ks 20.8).ki-67(MIB 1)and p53 (DO 7)respectively. cytokeratin 20 (Ks 20.8):positive.cytoplasmic staining in malignant urothelial cells. Ki-67 (MIB 1):positive. increased in malignant urothelial cells.p53 (DO7):positive.unclear staining malignant urothelial cells. INTERPRETATION:The resulits are supportive of urothelial carcinoma in situ . 上述是我發了將近兩個小時一個字 一個字key上去 .現在我已經完成第五次小籃梅灌藥~上個星期四的尿細胞也驗出沒有癌細胞..請幫我看一下病理報告內容跟意思!!復發的機率是多少.... 謝謝~~ |
回答醫師 | 謝瑞坤 |
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回答日期 | 2011年11月22日 |
回答內容 | 病理報告顯示低度惡性(low grade)第零期原位(pTis, carcinoma in situ)膀胱癌, 經膀胱鏡局部切除(TURBT), 一般需六次小藍莓(mitomycin)或BCG的灌注, 之後每3-6月進行尿液細胞學與膀胱鏡檢查, 必要時, 需再追加六次小藍莓(mitomycin)或BCG的灌注, 膀胱癌復發率可降至小於< 10%. |
