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乳腺浸润性微乳头状癌临床病理学研究(附14例报道)
引用本文:王欣,李志娟. 乳腺浸润性微乳头状癌临床病理学研究(附14例报道)[J]. 蚌埠医学院学报, 2008, 33(3): 294-297
作者姓名:王欣  李志娟
作者单位:安徽省蚌埠市第一人民医院,病理科,233000;安徽省五河县人民医院,病理科,233300
摘    要:目的:探讨乳腺浸润性微乳头状癌(IMPC)的临床病理特征和鉴别诊断。方法:观察14例IMPC临床病理资料、组织病理学形态和免疫表型。结果:14例IMPC无特殊的症状和体征,在乳腺浸润性导管癌中发生率为4.8%;其淋巴结转移阳性率78.6%及转移个数(平均7.6个)均明显高于浸润性导管癌(41.0%,平均3.5个)(P〈0.05);组织病理学特征性表现为:癌巢呈假乳头状,由位于人工间隙内呈中空簇状/腺管状排列的瘤细胞构成;瘤细胞呈立方形或低柱状,胞质细颗粒状;核卵圆形,深染,有轻度异型性,分裂象较少。免疫表型:上皮膜抗原(EMA)在瘤细胞中有独特的阳性表达——"反极"染色现象,部分瘤细胞可表达ER、PR、c-erbB-2。结论:IMPC是乳腺癌中的少见类型,癌巢呈假乳头状,生物学行为恶性度较高,诊断时应与浸润性乳头状癌、黏液腺癌、转移性乳头状癌相鉴别。

关 键 词:乳腺肿瘤    乳头状  浸润性微乳头状癌  病理学  临床
文章编号:1000-2200(2008)03-0294-03
修稿时间:2007-11-03

Clinicopathological study of invasive micropapillary carcinoma of the breast:A report of 14 cases
WANG Xin,LI Zhi-juan. Clinicopathological study of invasive micropapillary carcinoma of the breast:A report of 14 cases[J]. Journal of Bengbu Medical College, 2008, 33(3): 294-297
Authors:WANG Xin  LI Zhi-juan
Affiliation:WANG Xin1,LI Zhi-juan2(1.Department of Pathology,Bengbu First People's Hospital,Bengbu Anhui 233000,2.Department of Pathology,Wuhe County People's Hospital,Wuhe Anhui 233300,China)
Abstract:Objective:To investigate the clinicopathological characteristics and differential diagnosis of invasive micropapillary carcinoma(IMPC) of the breast.Methods:The clinicopathologic information,histopathology and immunophenotype of 14 cases of IMPC of the breast were studied.Results:No special chinical symptoms or signs were observed in the cases.The occurrence of IMPC was 4.8%.The incidence of metastases of the lymph node(78.6%) and the number of metastatic node(on average 7.6) occurred more often in IMPC tha...
Keywords:breast neoplasma  carcinoma  papillary  invasive micropapillary carcinoma  pathology  clinical  
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