[醫如往常] Senior Clerkship Day 117: Pathology: Post radiation sarcoma

Triple Cancer

SPC 吳醫師

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病人無法躺平

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Oral mass for 2 years

89 y/o woman1

1) Nasopharyngeal carcinoma, unknown stage and type, status post radiotherapy in 195X, 

2) Tongue cancer, squamous cell carcinoma, pT1N0M0 stage I, status post left partial glossectomy in 200X

3) Post-irradiation sarcoma, pT2, hospice care, with progression in 2016

4) Lung cancer, adenocarcionoma, early stage, status post lobectomy 15 years ago, 

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Radiation induced sarcoma

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Radiation induced encephalomalacia

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Lung lobectomy

Psmomma body

Lymphadenoma

NPC

CK5 6

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NPC

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Keratin

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Post radiation sarcoma

CK, pan CK, SMA, DESMIN, S 100, myogenin, H3k27me3 (-)

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CD99, INI1, p53, ki67 +

P16, HHV8, EBV -

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RIS

至少要照四年以上才會長

Mitosis

C myc gene

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