1. BRONCHOALVEOLAR LAVAGE FROM LEFT UPPER LOBE (A):
-
Rare atypical cells present, favor reactive bronchial cells (
waiting on IHC
).
-
Background of acute and chronic inflammatory cells with histiocytes.
2. ENDOBRONCHIAL BRUSHING (CYTOLOGY) (B):
-
Negative for malignant cells.
-
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:
• 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- ♂ (1214 bytes) () 07/20/2024 postreply 18:20:13
• 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- ♀ (675 bytes) () 07/20/2024 postreply 18:33:59
• 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- ♀ (0 bytes) () 07/20/2024 postreply 18:36:32
• 等病理報告吧。 -老道- ♂ (0 bytes) () 07/20/2024 postreply 19:12:24
• 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
• 謝謝解釋 -讀你我是認真的- ♀ (0 bytes) () 07/20/2024 postreply 19:41:08