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2017年1月5日 星期四

[醫如往常] Senior Clerkship Day 111: Pathology: Sclerosing mucoepidermoid carcinoma with eosinophilia

李醫師
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OCT
OCT frozen
optimum cutting temperature compound
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Fixation
Avoid autolysis, 防止微生物孳生
10% 中性福馬林 (4%甲醛)
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Dehydration
Alcohol
變形萎縮
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Clear 透明化
Xylene

折射率 1.494
蓋玻片 1.51
載玻片 1.52
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Infiltration
Paraffin
變形萎縮
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Embedding, casting, blocking
壓到最底部

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SPC李醫師
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63F
Neck swelling for 4 months
Abx was not effective
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Sclerosing mucoepidermoid carcinoma with eosinophilia
Right buccal region
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Mucous gland
Submandibular, submental gland like?

Minor salivary gland


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Tumor nest
Trabeculae, cord like pattern

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Keloid like collagen

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Tumor
Glandular structure
Mitosis

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CK7
P63
P5,6
IgG4

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Ddx
Kimura disease
steroid 治療

Lymphoid nodular pattern
不會有tumor pattern, infiltrated pattern
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Sclerosing mucoepidermoid carcinoma



Japan

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P63 diffuse positive
Keratinazation


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