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Gastric tumor, mid-body, excisional biopsy-Consistent with malignant lymphoma. B-cell in origin.

The specimen submitted consisted of 3 tiny pieces of soft tissue fragments, fixed in formalin.

Grossly, they showed tan-whitish in color and soft in consistency. Totally embedded.

Microscopically, the sections show picture of focal infiltration of small to medium-sized lymphoid cells, round hyperchromatic nuclei ,inconspicuous mucleoil , very high N/C ratio few mitotic figures, focal necrotizing inflammation of the mucosa, and marked crushing artifact of the lymphoid tumor cells over the widened lamina prppria of mucosa without lymphoepithelial lesion, which are consistent with malignant lymphoma., B-cell in origin. Burkitt lymphoma can not be ruled out completely. Follow up closely, please.

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    Gastric tumor, mid-body, excisional biopsy-Consistent with malignant lymphoma. B-cell in origin.

    從胃體中段(midbody)的胃癌(Gastric tumor)病灶處,所取得的切除性切片檢體,結果符合惡性淋巴瘤(malignant lymphoma)的表現(起源為B淋巴細胞)。

    The specimen submitted consisted of 3 tiny pieces of soft tissue fragments, fixed in formalin.

    Grossly, they showed tan-whitish in color and soft in consistency. Totally iframeded.

    送檢檢體包含三小塊軟組織碎片,放置於福馬林中固定。

    就外觀來看,檢體呈偏白的棕褐色,柔軟的程度一致。

    檢查時將全部檢體進行包埋(iframeded)處理。

    Microscopically, the sections show picture of focal infiltration of small to medium-sized lymphoid cells, round hyperchromatic nuclei ,inconspicuous mucleoil , very high N/C ratio few mitotic figures, focal necrotizing inflammation of the mucosa, and marked crushing artifact of the lymphoid tumor cells over the widened lamina prppria of mucosa without lymphoepithelial lesion, which are consistent with malignant lymphoma., B-cell in origin. Burkitt lymphoma can not be ruled out completely. Follow up closely, please.

    在顯微鏡下,切片呈現小至中型淋巴細胞局部浸潤(focal infiltration)的情形。這些細胞具有圓形、過染(hyperchromatic)的細胞核,核仁(nucleoli)不明顯,核質比(N/C ratio)非常高;少數細胞正在進行有絲分裂;局部黏膜有壞死性發炎(focal necrotizing inflammation)的情形。此外,在黏膜變厚的固有層(lamina prppria)中,到處都是明顯的淋巴腫瘤細胞破碎假象(crushing artifact),但是沒有淋巴上皮病灶(lymphoepithelial lesion)。以上結果符合惡性淋巴瘤的表現(起源為B淋巴細胞),不過無法完全排除為Burkitt氏淋巴瘤的可能性。請務必密切追蹤後續變化。

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