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患者女性,24岁。发现左乳腺肿物1周。查体:于左乳腺内侧触及直径约2.5 cm肿物,质韧,压痛,边界清楚,表面光滑,活动度好,双侧腋窝未触及肿大淋巴结。B超示左乳腺内侧9点位探及一低回声实性肿物,大小2.4 cm×1.9 cm×2.1 cm,边界欠清晰、不光滑,内部回声不均匀。行左乳腺象限切除术。术中冷冻提示病变性质难以确定,建议待石蜡。病理检查巨检:乳腺区段切除标本,4 cm×2.5 cm×1.5 cm大小;切面见结节1枚,2.4 cm×1.5 cm×1 cm大小,结节为囊实性镜检:肿瘤细胞排列成大小不等的囊泡状
Patient female, 24 years old. Left breast tumor was found for 1 week. Physical examination: inside the left breast touched about 2.5 cm diameter tumor, quality toughness, tenderness, clear boundary, smooth surface, good activity, bilateral axillary untreated lymph nodes. B ultrasound showed the inside of the left breast 9:00 exploration and a low echo solid tumors, the size of 2.4 cm × 1.9 cm × 2.1 cm, the border is not clear, not smooth, the internal echo uneven. Line left breast quadrant resection. Intraoperative freezing tips difficult to determine the nature of the proposed paraffin. Pathological examination of macroscopic examination: Mammary section resection specimens, size of 4 cm × 2.5 cm × 1.5 cm; section see nodules 1, 2.4 cm × 1.5 cm × 1 cm size, nodules for cystic solid microscopy: tumor cells arranged Into the size of vesicles