乳腺分泌型癌2例报道及文献复习
Secretory carcinoma of breast:a report of 2 cases and review of the literature
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摘要: 目的:探讨乳腺分泌型癌的临床病理特点、诊断及预后。方法:对2例乳腺分泌型癌进行光镜、组织化学及免疫组织化学观察,并结合文献进行分析。结果:乳腺分泌型癌的病理形态学主要特点为癌细胞异型性较小,细胞质和细胞外出现大量分泌物,对PAS染色出现阳性反应,免疫组织化学S-100恒定表达。结论:乳腺分泌型癌比较少见,为预后较好的乳腺癌。诊断需结合组织学特点及免疫组织化学,病理诊断时还需与一些肿瘤相鉴别。Abstract: Objective:To study the clinicopathological characteristics,diagnosis and prognose of secretory carcinoma of the breast.Methods:Microscopy,histochemical and immunohistochemical staining were used with the review of the literature to 2 cases secretory carcinoma of breast.Results:The tumor revealed small atypia of cancer cells and appeared large amounts of intracellular and extracellular eosinophilic PAS-positive secretory material.It constantly expressed immunhistochemical mark S-100.Conclusions:Secretory carcinoma of the breast is a rare breast carcinoma and has better prognosis.Combined with histological features and histochemical staining,diagnosis of secretory carcinoma of the breast also needs differential diagnosis of some tumors.