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脾原发性血管肉瘤5例临床病理分析
引用本文:庞有成,于国,任刚,王华,纪宇. 脾原发性血管肉瘤5例临床病理分析[J]. 诊断病理学杂志, 2007, 14(3): 197-198
作者姓名:庞有成  于国  任刚  王华  纪宇
作者单位:1. 北京丰台医院桥南部,病理科,北京,100070
2. 解放军总医院,病理科,北京,100853
摘    要:目的探讨脾原发性血管肉瘤的临床病理学特征、诊断及鉴别诊断。方法主要从临床表现、大体检查、光镜和免疫组化方面进行观察并随访。结果5例中男性3例,女性2例,年龄在44~60岁,平均52岁。肿瘤最大者20cm×18cm×8cm,最小者5cm×3cm×3cm。免疫组化瘤细胞F8、CD34、CD31和vimentin均(+)。结论脾血管肉瘤罕见,临床缺乏特异性,病理形态多样,诊断困难,免疫组化特异性标记可明确诊断。

关 键 词:  血管肉瘤  临床病理  免疫组化
文章编号:1007-8096(2007)03-0197-02
修稿时间:2006-12-15

Primary angiosarcoma of spleen: a clinicopathologic analysis of 5 cases report and review of literature
PANG You-cheng, YU Guo, REN Gang. Primary angiosarcoma of spleen: a clinicopathologic analysis of 5 cases report and review of literature[J]. Chinese Journal of Diagnostic Pathology, 2007, 14(3): 197-198
Authors:PANG You-cheng   YU Guo   REN Gang
Affiliation:1. Department of Pathology, Qiao Nan Division, Beijing Fentai Hospital, Beijing 100070; 2. Department of Pathology, General Hospital of PLA, Beijing 100853, China
Abstract:Objective To investigate the clinicopathologic features, pathological diagnosis and differential diagnosis of splenic angiosarcoma. Methods 5 cases of splenic angiosarcoma were studied with clinical data analysis, macroscopy, microscopy and immunohistochemical staining. Clinical follow- up was conducted. Results There were 3 males and 2 females with average age of 52 years. Macroscopically, splenic angiosareoma in this study ranged from 5 to 20 cm in diameter. Two cases were multinodular, and three, solitary. Positive rates of immunostaining for CD31, vimentin, CD34 and F8 were 100% respectively. Conclusions Angiosarcoma of the spleen is a rare tumor with pleomorphic histopathological features. It lacks specific manifestations. Immunohistochemical markers can be used for definite diagnosis.
Keywords:Spleen   Angiosarcoma   Clinical pathology   Immunohistochemistry
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