| 原发性双侧精囊腺黏液腺癌临床病理观察 |
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| 引用本文： | 宋志刚,余春开,田侠,王殿军. 原发性双侧精囊腺黏液腺癌临床病理观察[J]. 诊断病理学杂志, 2015, 22(1): 34-37 |
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| 作者姓名： | 宋志刚 余春开 田侠 王殿军 |
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| 作者单位： | 1. 解放军总医院病理科,北京,100853
2. 首都医科大学附属北京世纪坛医院病理科,北京,100038 |
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| 摘 要： | 目的探讨原发性双侧精囊腺黏液腺癌的临床病理学特征、诊断与鉴别诊断。方法分析1例原发性双侧精囊腺黏液腺癌的临床、病理形态学特征、免疫表型,并复习相关文献。结果患者男性,51岁。临床表现为血精伴排尿不畅,无肉眼血尿。血PSA不高,CEA、CA19-9和CA724升高。MRI示双侧精囊腺区囊实性病变。大体见双侧精囊腺增大,切面囊实性,实性区灰黄色,囊内有淡黄色胶冻样物。镜下见大量黏液湖,囊内壁衬覆黏液细胞,细胞有重度不典型性。免疫组化示癌细胞CK7和CA125(+),CK20小灶(+),PSA和CEA均(-)。术后细生化指标下降至正常范围。随访6个月,无复发或远处转移。结论原发性精囊腺黏液腺癌非常罕见,确诊时需与毗邻脏器来源的黏液腺癌鉴别,全面检查配合免疫组化可以明确诊断。
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| 关 键 词： | 精囊腺 黏液腺癌 CA125 免疫组化 鉴别诊断 |
Clinicopathologic features of primary mucinous adenocarcinoma of the seminal vesicles |
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| SONG Zhi-gang,YU Chun-kai,TIAN Xia,WANG Dian-jun. Clinicopathologic features of primary mucinous adenocarcinoma of the seminal vesicles[J]. Chinese Journal of Diagnostic Pathology, 2015, 22(1): 34-37 |
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| Authors: | SONG Zhi-gang YU Chun-kai TIAN Xia WANG Dian-jun |
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| Affiliation: | SONG Zhi-gang;YU Chun-kai;TIAN Xia;WANG Dian-jun;Department of pathology,the Chinese PLA General Hospital;Department of Pathology,Beijing Shijitan Hospital,Capital Medical University; |
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| Abstract: | |
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| Keywords: | Seminal vesicles Mucinous adenocarcinoma CA125 Immunohistochemical staining Differential diagnosis |
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