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9例无功能性胰岛细胞瘤TSH、FSH和LH的异位表达
引用本文:陈桦,陈蕾,徐克纾,纪萍,王海燕.9例无功能性胰岛细胞瘤TSH、FSH和LH的异位表达[J].中国癌症杂志,1996(1).
作者姓名:陈桦  陈蕾  徐克纾  纪萍  王海燕
作者单位:青岛市立医院病理科,青岛大学医学院生理学教研室,青岛市临床医学研究所免疫病理室
摘    要:目的检查多种糖蛋白激素在无功能性胰岛细胞瘤组织中的分布,并探讨肿瘤组织发生学。方法对9例无功能性胰岛细胞瘤进行促甲状腺素(TSH)、促卵泡成熟激素(FSH)和促黄体素(LH)等糖蛋白激素及6种胰腺的肽类激素免疫组织化学标记。结果9例肿瘤中TSH阳性3例(33%);FSH阳性5例(56%);LH阳性2例(22%)。另外,胰岛素阳性4例(44%);胰高血糖素阳性6例(67%);生长抑素阳性6例(67%);胰多肽弱阳性1例。其中1种糖蛋白激素阳性3例,2种激素阳性2例,3种糖蛋白激素阳性1例。多数肿瘤同时存在糖蛋白激素和肽类激素阳性细胞。结论这类肿瘤不仅能合成或分泌肽类激素,也能异位产生糖蛋白激素。

关 键 词:胰岛细胞瘤  促甲状腺素  促卵泡成熟激素  促黄体素  免疫组织化学

EXPRESSION OF TSH,FSH AND LH IN NONSECRETING ISLET CELL TUMORS
Chen Hua, Chen Lei, Xu Keshu, et al.EXPRESSION OF TSH,FSH AND LH IN NONSECRETING ISLET CELL TUMORS[J].China Oncology,1996(1).
Authors:Chen Hua  Chen Lei  Xu Keshu  
Abstract:PURPOSE To determine the distribution of several glucoprotein hormones in nonsecreting islet cell tumors.METHODS 9 cases of nonsecreting pancreatic islet cell tumors were studied immunohistochemically using TSH, FSH, LH and 6 kinds of peptide hormones.RESULTS It was shown that 3 cases were positive to TSH (33%), FSH 5 (56%), LH 2 (22%).Many cases were found to be multi-hormones.CONCLUSIONS It has been confirmed that these tumor cells presented abnormal synthesis and secretion of glucoprotein hormones. We believe that these endocrine cells arose from primitive multipotential stem cells in the endoderm in the process of differentiation and showed ectopic secretion of hormones.
Keywords:islet cell adenoma  TSH  FSH  LH  immunohistochemistry
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