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中华普通外科学文献(电子版) ›› 2017, Vol. 11 ›› Issue (03) : 199 -200. doi: 10.3877/cma.j.issn.1674-0793.2017.03.015

所属专题: 经典病例 经典病例 文献

病例报告

乳腺原始神经外胚层肿瘤一例
方斌1, 翟保平1,(), 李文涛1, 贾琳娇1, 支慧2, 张园芳2, 黄毅3   
  1. 1. 450003 郑州大学人民医院(河南省人民医院)乳腺外科
    2. 450003 郑州大学人民医院(河南省人民医院)手术室
    3. 401220 重庆市长寿区人民医院普外科
  • 收稿日期:2017-03-27 出版日期:2017-06-01
  • 通信作者: 翟保平
  • Received:2017-03-27 Published:2017-06-01
引用本文:

方斌, 翟保平, 李文涛, 贾琳娇, 支慧, 张园芳, 黄毅. 乳腺原始神经外胚层肿瘤一例[J/OL]. 中华普通外科学文献(电子版), 2017, 11(03): 199-200.

图1 术前正面、侧面照
图2 右乳巨大占位并右侧胸壁可疑受累
图3 右乳巨大占位并胸肌受侵犯
图4 瘤细胞由形态较一致的小圆细胞细胞构成,细胞核深染,约两个淋巴细胞大小,胞浆稀少,胞界不清,核分裂易见。肿瘤内血管丰富,局灶少量纤维分割形成(HE染色,×400)
图5 a、b为术前平卧位测量右乳巨大肿块约15.0 cm×9.0 cm,c为手术切除标本
图6 术后半月正面、侧面照
图7 细胞内正常信号类型为2黄,异常信号类型为n黄m红w绿。计数100个细胞,异常信号类型的肿瘤细胞比率为75%>15%,提示EWSRI基因存在断裂(阳性)
图8 肿瘤细胞弥漫阳性,膜阳性(免疫组织化学染色,×400)
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