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肾脏集合管癌临床病理学特征
引用本文:甘梅富,卢洪胜,周涛,蔡菊芳.肾脏集合管癌临床病理学特征[J].实用肿瘤杂志,2007,22(6):499-501.
作者姓名:甘梅富  卢洪胜  周涛  蔡菊芳
作者单位:浙江省台州医院病理科,浙江,临海,317000
摘    要:目的探讨肾脏集合管癌(collecting duct carcinoma of kidney,CDC)的临床病理特点、鉴别诊断及预后。方法对8例肾脏集合管癌病理学、免疫组化进行观察,并复习临床资料及相关文献。结果肿瘤好发于中老年男性(平均年龄50.8岁),临床常见腰痛、血尿。光镜下见瘤细胞呈靴钉状、不规则腺管状、乳头状结构,肿瘤有明显的间质反应。免疫组化:瘤细胞通常表达高分子量角蛋白、vimentin。随访2例死亡。结论肾脏集合管癌有独特的临床及形态学特征,其预后跟肿瘤的形态密切相关,诊断主要靠形态学及免疫组化。

关 键 词:肾肿瘤/病理学  肾小管  集合/病理学  免疫组织化学
文章编号:1001-1692(2007)06-0499-03
收稿时间:2007-04-28
修稿时间:2007年4月28日

Clinical and pathological characters of collecting duct carcinoma of kidney: A report of 8 cases
GAN Mei-fu,LU Hong-sheng,ZHOU Tao,et al.Clinical and pathological characters of collecting duct carcinoma of kidney: A report of 8 cases[J].Journal of Practical Oncology,2007,22(6):499-501.
Authors:GAN Mei-fu  LU Hong-sheng  ZHOU Tao  
Abstract:Objective To observe the clinicopathological features of collecting duct carcinoma of kidney(CDC).Methods The clinical records and results of HE,immunohistochemical examination of 8 CDC cases were analyzed.Results The average age of 8 cases was 50.8 years and male dominated.The major symptoms were hematuria and flank pain.In histopathologic examinations tumor cells displayed hobnail-like shape and diffuse tubular or tubular-papillary pattern with desmoplastic stromal reaction.Immunohistochemical staining showed positive for CK7,EMA and vimentin in tumor cells.Conclusion CDC can be differentiated from other kidney tumors based on HE and immunohistochemical staining.
Keywords:kidney neoplasms/pathology  kidney tubules  collecting/patholgoy  immunohistochemistry
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