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胃肠间质瘤25例临床病理分析
引用本文:薛林,何建春,温丽华. 胃肠间质瘤25例临床病理分析[J]. 中国冶金工业医学杂志, 2011, 28(1): 16-18
作者姓名:薛林  何建春  温丽华
作者单位:攀枝花市攀钢总医院病理科,四川,617000
摘    要:目的探讨胃肠道间质瘤(GIST)的组织学特点以及免疫组化标记在诊断与鉴别诊断中的意义。方法对25例GIST进行光镜观察,用免疫组化方法检测CD117(c-kit)、CD34、SMA、S-100抗原标记物在肿瘤中的表达情况。探讨GIST的良恶性判断标准。结果 25例中良性15例,潜在恶性6例,恶性4例;GIST由梭形细胞、上皮样细胞构成;CD117和CD34在GIST的阳性率较高,分别为92%、80%,个别病例SMA和(或)S-100呈点灶状阳性。结论 CD117、CD34、SMA以及S-100有助于GIST的诊断,GIST的诊断与鉴别诊断需结合组织学特点和免疫组化结果综合判断。

关 键 词:胃肠间质瘤  临床病理  免疫组织化学

Clinical pathological analysis of gastrointestinal stromal tumors
XUE Lin,HE Jian-chun,WEN Li-hua. Clinical pathological analysis of gastrointestinal stromal tumors[J]. Chinese Medical Journal of Metallurgical Industry, 2011, 28(1): 16-18
Authors:XUE Lin  HE Jian-chun  WEN Li-hua
Affiliation:XUE Lin,HE Jian-chun,WEN Li-hua Department of Pathology,Staff Hospital of Panzhihua Iron and Steal Corporation,Panzhihua,Sichuan 617000,China
Abstract:Objective To explore the significance of histopathologic character and immunohistochemistry in diagnosis and differential diagnosis of gastrointestinal stromal tumor(GIST).Methods 25 cases of GIST were surveyed by microscopy and expression of CD117(c-kit),CD34,SMA and S-100 were detected by immunohistochemistry.The criteria of benignancy and malignancy of GIST was discusstd.Results GIST patints were mostly adult and equal proportion in man and woman.It was composed of spindle cells and epithelial cells.The ...
Keywords:Gastrointestinal stromal tumor  Clinicopathology  Immunohistochemistry  
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