戴主任,您好!非常感谢您的帮助,我母亲的0.8cm部分实性结节已经手术,病理出来是浸润,贴壁型,胸膜破坏。想请戴主任估计下五年无病生存率,以及后续是否需要治疗。病理报告比较波折,就不贴了。刚开始的病理完全错了。我请北大人医的病理科主任大夫看了,胸膜已经被破坏了;分化是贴壁型80%,RT(敏感词,只好拼音)型10%,腺泡型10%。病理图片也贴出来了。
![](http://tiebapic.baidu.com/forum/w%3D580/sign=0df796553af5e0feee1889096c6134e5/1c604d0635fae6cd8661322d18b30f2443a70f76.jpg?tbpicau=2024-07-02-05_0519aaa475a98beae98eee38c9b5825b)
这张图里我把CT值高于-300的部分给标出来了。![](http://tiebapic.baidu.com/forum/w%3D580/sign=fce80df790d6277fe912323018391f63/621bac2bc65c103828aa578ea5119313b17e8977.jpg?tbpicau=2024-07-02-05_5b13862ff6ca9a0421500c9b337f262d)
![](http://tiebapic.baidu.com/forum/w%3D580/sign=eb0b87685e540923aa696376a259d1dc/52785194d143ad4bb7a93f8b95025aafa50f0646.jpg?tbpicau=2024-07-02-05_dfd56ce0c0eca149ec2c2f3614b32bf9)
贴壁型为主,上皮细胞呈鞋钉样表现。![](http://tiebapic.baidu.com/forum/w%3D580/sign=e9e6a2880cd5ad6eaaf964e2b1ca39a3/c743f7071d950a7b39f5d7881dd162d9f3d3c903.jpg?tbpicau=2024-07-02-05_9395f38a1de59fab3433efa34373d729)
蓝色画圈的里面是RT型
![](http://tiebapic.baidu.com/forum/w%3D580/sign=bc1a9aad382eb938ec6d7afae56385fe/48b665029245d6883cc22be8b3c27d1ed31b2403.jpg?tbpicau=2024-07-02-05_68adbbb52493b36a60349c1c266694af)
画圈的部分,脏层胸膜已经被破坏了![](http://tiebapic.baidu.com/forum/w%3D580/sign=49ec1f67a751f819f1250342eab54a76/a37fad9a033b5bb5b914b9b221d3d539b700bc0c.jpg?tbpicau=2024-07-02-05_82a85c09a1c32c7817634a6579b32fb4)
脏层胸膜被破坏的放大图片![](http://tiebapic.baidu.com/forum/w%3D580/sign=6211dabab0efce1bea2bc8c29f50f3e8/909e346fddc451da733595a7a1fd5266d116320c.jpg?tbpicau=2024-07-02-05_3c4fd5ec6cd3b3ee212f0f5f00413756)
![](http://tiebapic.baidu.com/forum/w%3D580/sign=0df796553af5e0feee1889096c6134e5/1c604d0635fae6cd8661322d18b30f2443a70f76.jpg?tbpicau=2024-07-02-05_0519aaa475a98beae98eee38c9b5825b)
这张图里我把CT值高于-300的部分给标出来了。
![](http://tiebapic.baidu.com/forum/w%3D580/sign=fce80df790d6277fe912323018391f63/621bac2bc65c103828aa578ea5119313b17e8977.jpg?tbpicau=2024-07-02-05_5b13862ff6ca9a0421500c9b337f262d)
![](http://tiebapic.baidu.com/forum/w%3D580/sign=eb0b87685e540923aa696376a259d1dc/52785194d143ad4bb7a93f8b95025aafa50f0646.jpg?tbpicau=2024-07-02-05_dfd56ce0c0eca149ec2c2f3614b32bf9)
贴壁型为主,上皮细胞呈鞋钉样表现。
![](http://tiebapic.baidu.com/forum/w%3D580/sign=e9e6a2880cd5ad6eaaf964e2b1ca39a3/c743f7071d950a7b39f5d7881dd162d9f3d3c903.jpg?tbpicau=2024-07-02-05_9395f38a1de59fab3433efa34373d729)
蓝色画圈的里面是RT型
![](http://tiebapic.baidu.com/forum/w%3D580/sign=bc1a9aad382eb938ec6d7afae56385fe/48b665029245d6883cc22be8b3c27d1ed31b2403.jpg?tbpicau=2024-07-02-05_68adbbb52493b36a60349c1c266694af)
画圈的部分,脏层胸膜已经被破坏了
![](http://tiebapic.baidu.com/forum/w%3D580/sign=49ec1f67a751f819f1250342eab54a76/a37fad9a033b5bb5b914b9b221d3d539b700bc0c.jpg?tbpicau=2024-07-02-05_82a85c09a1c32c7817634a6579b32fb4)
脏层胸膜被破坏的放大图片
![](http://tiebapic.baidu.com/forum/w%3D580/sign=6211dabab0efce1bea2bc8c29f50f3e8/909e346fddc451da733595a7a1fd5266d116320c.jpg?tbpicau=2024-07-02-05_3c4fd5ec6cd3b3ee212f0f5f00413756)