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患女,56岁,于2月前发现右侧乳房包块,逐渐增大,触之不痛。查体:双侧乳头对称,乳头、乳晕及乳腺皮肤未见异常,双侧腋窝未触及肿大淋巴结。患者曾于3月前在乳山市人民医院行外阴肿块切除,病理诊断为腺样基底细胞癌。体表检查无其他异常。 大体;肿物一个,表现带有较多脂肪,总体积6.5cm×4.5cm×3.5cm;切面见一个结节性肿物,与周围脂肪组织无明显分界,灰白、灰黄、灰黑色相间;质地较脆,结节大小2.5cm×2.2cm×2cm。 镜检:肿瘤细胞呈上皮样,细胞体积大,多边形,偶见长梭形,边界清。核大圆形或椭圆形,胞浆
Female, 56 years old, found in February right breast mass, gradually increased, the touch is not painful. Examination: bilateral nipple symmetry, nipple, areola and breast skin were normal, bilateral axillary untreated lymph nodes. Patients had ruptured the vulva mass in Rushan People’s Hospital before March and the pathology was diagnosed as adenoid basal cell carcinoma. No other abnormal body surface examination. In general, a mass showed a fat with a total volume of 6.5 cm × 4.5 cm × 3.5 cm; a nodular mass was seen on the incision with no obvious demarcation of the surrounding adipose tissue, with gray, gray, gray and black; Texture is more brittle, nodular size 2.5cm × 2.2cm × 2cm. Microscopic examination: tumor cells were epithelial, large cell volume, polygons, occasionally long fusiform, border clear. Nucleus large or oval, cytoplasm