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粒细胞肉瘤的组织学及免疫组化诊断
引用本文:齐淑轶,邓莅霏,蔡勇,黄传生.粒细胞肉瘤的组织学及免疫组化诊断[J].赣南医学院学报,2008,28(3):335-337.
作者姓名:齐淑轶  邓莅霏  蔡勇  黄传生
作者单位:1. 江西省肿瘤医院,病理科,江西,南昌,330029
2. 江西省肿瘤医院,头颈科,江西,南昌,330029
摘    要:目的:探讨粒细胞肉瘤(granulocytic sarcoma,GS)的组织学特征及免疫组化诊断。方法:对7例GS的组织形态学及免疫组织化学特征进行回顾性分析。结果:GS组织学上表现为弥漫分布、形态相对一致的分化较差细胞,小至中等大小,胞质少,胞核呈圆形、卵圆形,染色质细腻。免疫组化染色显示,髓过氧化物酶(MPO)表达6例,CD43表达6例,CD68表达5例,CD99表达4例,CD34表达3例,CD15表达1例。结论:GS在常规石蜡包埋切片上的形态学特点与恶性淋巴瘤极其相似,易造成误诊。联合使用MP0、CD68、CD3、CD34、CD99等多种粒系抗体进行免疫表型的检测可使绝大多数GS得到确诊。

关 键 词:粒细胞  肉瘤  免疫组织化学  病理学

Histological and immunohistochemical diagnosis of granulocytic sarcomas
QI Shu-yi,DENG Li-fei,CAI Yong,HUANG Chuan-sheng.Histological and immunohistochemical diagnosis of granulocytic sarcomas[J].Journal of Gannan Medical College,2008,28(3):335-337.
Authors:QI Shu-yi  DENG Li-fei  CAI Yong  HUANG Chuan-sheng
Institution:QI Shu-yi1a,DENG Li-fei1b,CAI Yong1a,HUANG Chuan-sheng1a (1a.Department of Pathology,1b. Department of Head , Neck Surgery,Jiangxi Provincial Tumor Hospital,Nanchang Jiangxi 330029)
Abstract:Objective:To study the histological features and immunohistochemical diagnosis of granulocytic sarcoma. Methods:The morphological and immunohistochemical featrures were retrospectivelly analyzed in 7 cases of granulocytic sarcoma.Results:Histologically, the GS were composed of a relatively uniform population of poorly differentiated cells growing in a diffuse pattern and were small to medium in size, with scant cytoplasm. The nuclei were round and oval, and had finely dispersed chromatin. Immunohistochemist...
Keywords:Granulocytic  sarcoma  immunohistochemtry  pathology  
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