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子宫内膜上皮内瘤变53例临床病理分析
引用本文:邹积骏,罗琼,延文.子宫内膜上皮内瘤变53例临床病理分析[J].诊断病理学杂志,2008,15(6).
作者姓名:邹积骏  罗琼  延文
作者单位:武汉市第一医院病理科,武汉,430022
摘    要:目的探讨子宫内膜上皮内瘤变(EIN)临床病理特征、免疫表型、诊断与鉴别诊断。方法对53例子宫内膜上皮内瘤变进行光镜观察(视野直径〉1 mm)、免疫组化研究及部分病例随访,并复习相关文献。结果53例诊刮子宫内膜组织标本,镜下观子宫内膜腺体增生拥挤且有些不规则,增生腺体分布区域大于间质分布区域(局灶性或弥漫性分布)。腺上皮细胞多具有非典型性,表现为核大、核浆比大,核变圆、有明显的核仁,核染色质粗颗粒状分布不均。53例均做PTEN、p53、ER、PR检测,60%(32/53)PTEN(-),6%(3/53)p53(+),42%(22/53)ER、PR(+)。12例随访病例中4例发现同时存在子宫内膜样腺癌。结论在子宫内膜癌前病变诊断标准上强调子宫内膜组织结构的异常改变,在诊断中可重复性较好,更易于组织病理诊断标准趋向一致。

关 键 词:子宫内膜上皮内瘤变  子宫内膜癌前病变  子宫内膜增生  PTEN  p53

Endometrial intraepithelial neoplasia:a clinicopathologic analysis of 53 cases
ZOU Ji-jun,LUO Qiong,YAN Wen.Endometrial intraepithelial neoplasia:a clinicopathologic analysis of 53 cases[J].Chinese Journal of Diagnostic Pathology,2008,15(6).
Authors:ZOU Ji-jun  LUO Qiong  YAN Wen
Institution:ZOU Ji-jun,LUO Qiong,YAN Wen(Department of Pathology,Wuhan First Municipal Hospital,Wuhan 430022,China)
Abstract:Objective To study the clinicopathologic and immunohistochemical features,diagnosis and differential diagnosis of endometrial intraepithelial neoplasia(EIN). Methods The microscopic and immunohistochemical features of EIN were examined in 53 cases(visual field diameter(>1?mm)) with review of the literature.Some cases were followed up. Results 53 specimens were all from endometrium biopsy.Microscopic features disclosed that area of glands exceeded that of stroma.The glands became,focally or diffusely,crowded...
Keywords:PTEN  p53
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