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浸润性微乳头型尿路上皮癌2例临床病理观察和文献复习
引用本文:温爽,刘天卿,宗华凤. 浸润性微乳头型尿路上皮癌2例临床病理观察和文献复习[J]. 临床与实验病理学杂志, 2008, 24(5)
作者姓名:温爽  刘天卿  宗华凤
作者单位:大连市友谊医院病理科,大连,116001;大连市友谊医院病理科,大连,116001;大连市友谊医院病理科,大连,116001
摘    要:目的 探讨浸润性微乳头型尿路上皮癌的临床病理和免疫组化特征.方法 对2例具有特殊临床病理特征的输尿管和膀胱微乳头型癌作光镜和免疫组化染色观察,结合临床资料进行分析.结果 浸润性微乳头型尿路上皮癌的特殊组织学表现为肿瘤细胞排列成巢状和条索状,位于透明间质空隙内,间质空隙无内皮衬覆.大部分细胞团极向反转,核偏向外侧缘,成"内外倒置"状,极似乳头状结构.免疫组化:该肿瘤表达CK7、CK20、CEA、EMA及E-cadherin.结论 浸润性微乳头型尿路上皮癌为高级别癌,易发生血管和淋巴道转移,预后差.其特殊的形态学变异和免疫组化特点,为其鉴别诊断提供了依据.

关 键 词:膀胱肿瘤  浸润性微乳头型尿路上皮癌  免疫组织化学

Micropapillary urothelial carcinoma:report of two cases and review of the literature
WEN Shuang,LIU Tian-qing,ZONG Hua-feng. Micropapillary urothelial carcinoma:report of two cases and review of the literature[J]. Chinese Journal of Clinical and Experimental Pathology, 2008, 24(5)
Authors:WEN Shuang  LIU Tian-qing  ZONG Hua-feng
Affiliation:Department of Pathology Friendship Hospital of Dalian;Dalian 116001;China
Abstract:Purpose To explore the clinicopathologic characteristics and immunohistochemical features of micropapillary urothelial carcinoma.Methods One case of ureteric and another one of urocystic mioropapillary carcinoma were investigated by light microscopy and immunohistochemical staining and their clinical features analyzed.Results The characteristic histology of mioropapillary urothelial carcinoma was that tumor cells were situated in an organizational space which had no epithelium lined inside.The polarity of m...
Keywords:bladder tumor  invasive micropapillary urothelial carcinoma  immunohistochemistry  
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