食管腺癌病理组织学,组织化学和免疫组化观察

汕头地区１９７８－１９８８年病理确诊的２４８７例食管癌中，有食管腺癌４８例，占１．９３％，４８例食管腺癌的组织学可分６亚型：高分化普通型腺癌（１０例），低分化普通型腺癌（１１例），腺鳞癌（１８例）。粘液表皮样癌（４例），圆柱瘤样癌（１例），基底细胞样癌（４例）。各型的组化，免疫组化表达及预后均各有特点，提示食管腺癌组织学再分型有意义。

Esophageal Adenocarcinoma : A study of Histopathology Histochemistry and Immunohistochemistry

Of 2487 Cases of esophageal carcinoma pathologically confirmed after resection in 1978- 1988 in shantou, adenocarcinoma accounted for 1. 93% (48 cases ). These were divided into 6 types: Ordinary well-differentiated adenocarcinoma, 10 cases; Ordinary poorly-differentiated adenocarcinoma, 11 cases; Adeno-squamous carcinoma, 18 cases; Muco-epider-moid carcinoma, 4 cases; "Basal Cell-Like Carcinoma", 4 cases; Cylindroma-Like carcinoma, I case. Muco-histochemistry and immunohisto-chemistry studies revealed some differences a-mong these types; And their prognosis also varied. The tissue origin and histological classification of "Basal Cell-Like Carcinoma" and cylin-droma-like carcinoma were discussed.