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肺嗜酸细胞类癌2例病理学观察
引用本文:陆鸣,陈书媛,宋红梅,张长淮. 肺嗜酸细胞类癌2例病理学观察[J]. 诊断病理学杂志, 2002, 9(2): 77-78
作者姓名:陆鸣  陈书媛  宋红梅  张长淮
作者单位:1. 首都医科大学附属北京友谊医院病理科,北京,100050
2. 北京丰台铁路分局中心医院病理科
摘    要:
目的 探讨肺嗜酸细胞类癌的病理学特点及鉴别诊断。方法 对2例肺嗜酸细胞类癌的组织病理学、免疫组织化学及电镜结果进行观察分析。结果 2例肺嗜酸细胞类癌的组织病理学特点:瘤细胞胞质内有多量嗜酸性细颗粒。免疫组化:角蛋白、NSE、CgA、Syn呈阳性表达,S-100呈阴性表达。电镜:瘤细胞胞质内见多量神经内分泌颗粒和增多的线粒体。结论 肺嗜酸细胞类癌具独特的病理学特点,免疫组化和电镜结果有助于鉴别诊断。

关 键 词:肺肿瘤 肺嗜酸细胞类癌 病理学 免疫组化 鉴别诊断 肺癌
文章编号:1007-8096(2002)02-0077-02
修稿时间:2001-09-07

Oncocytic carcinoid rumor of the lung: a report of two cases with review of the literature
Lu Ming,Chen Shuyuan,Song Hongmei,et al.. Oncocytic carcinoid rumor of the lung: a report of two cases with review of the literature[J]. Chinese Journal of Diagnostic Pathology, 2002, 9(2): 77-78
Authors:Lu Ming  Chen Shuyuan  Song Hongmei  et al.
Affiliation:Lu Ming,Chen Shuyuan,Song Hongmei,et al. Department of Pathology,Beijing Friendship Hospital,the Capital University of Medical Sciences,Beijing 100050
Abstract:
Objective To investigate the pathologic features of oncocytic carcinoid tumor of the lung (OCTL) and its diagnosis. Methods Histopathologic changes, immunohistochemical findings and ultrastructural alterations were analyzed in 2 cases. Results The tumor cells had abundent finely granular eosinophilic cytoplasm. Immunohistochemical staining showed the tumor cells were positive for chromogranin A, NSE, synaptophysin and cytokeratins, and negative for S 100 protein. Ultrastructural findings were that the tumor cell cytoplasm contained abundent dense core neurosecretory granules and abundent mitochondria. Conclusions OCTL is a morphologically distinctive entity of disease. It can be differentiated from other pulmonary tumors based on immunohistochemical staining and ultrastructural examination. <
Keywords:Lung neoplasm  Oncocytic carcinoid   Histopathology
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