1. BRONCHOALVEOLAR LAVAGE FROM LEFT UPPER LOBE (A):
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Rare atypical cells present, favor reactive bronchial cells (
waiting on IHC
).
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Background of acute and chronic inflammatory cells with histiocytes.
2. ENDOBRONCHIAL BRUSHING (CYTOLOGY) (B):
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Negative for malignant cells.
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Histiocytes, with acute and chronic inflammatory cells.
3. EBUS FNA
"LYMPH NODE"
(though it seems this was a biopsy of the mass, based on the procedure report)
Abundant acute inflammatory cells and necroinflammatory debris, consistent withabscess.
Negative for Tuberculosis
Gram stain:
Negative
GMS:
Negative
AFB:
Negative
IMMUNOHISTOCHEMISTRY: Tuberculosis:
Negative
醫生總結見內 ---1st one
所有跟帖:
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這就是我上麵問的細胞學檢查結果,分三部分:1.肺泡灌注衝洗液見到不典型細胞,傾向於炎性反應支氣管內皮細胞。2.支氣管刷落
-老道-
♂
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()
07/20/2024 postreply
18:20:13
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謝謝您博聞強記,把我講的淩亂故事理的清晰明白
-讀你我是認真的-
♀
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07/20/2024 postreply
18:33:59
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萬一第二次還是全陰性,您對下一步診斷有何建議?
-讀你我是認真的-
♀
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07/20/2024 postreply
18:36:32
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等病理報告吧。
-老道-
♂
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07/20/2024 postreply
19:12:24
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癌組織周圍經常有炎性反應細胞,或者不典型細胞。如果臨床表現像癌,而穿刺活檢隻見到炎性組織,這時首先考慮穿刺不到位,沒穿到
-老道-
♂
(324 bytes)
()
07/20/2024 postreply
19:11:22
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謝謝解釋
-讀你我是認真的-
♀
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07/20/2024 postreply
19:41:08