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73例胃肠道梭形细胞肿瘤临床病理及免疫组化分析
引用本文:谈顺,吴文川,罗志飞,黄幼生,丁莉利.73例胃肠道梭形细胞肿瘤临床病理及免疫组化分析[J].中国热带医学,2006,6(4):636-637,721.
作者姓名:谈顺  吴文川  罗志飞  黄幼生  丁莉利
作者单位:海南医学院附属医院病理科,海南,海口,570102
摘    要:目的研究胃肠道梭形细胞肿瘤的免疫组化及临床病理特征。方法用免疫组化S—P法检测CD117、CD34、Vimentin、S-100、actin(平)蛋白在肿瘤中的表达。结果73例胃肠道梭形细胞肿瘤中潜在、低度、中度及高度危险病例数分别为6例、34例、21例及12例;诊断胃肠道间质瘤60例,平滑肌源性肿瘤8例,神经源性肿瘤3例。侵袭行为危险程度与胃肠道梭形细胞肿瘤的发生部位相关(P〈0.05)。结论对胃肠道梭形细胞肿瘤进行分类诊断时,最好联合使用多项免疫组化指标。

关 键 词:胃肠道  梭形细胞肿瘤  间质瘤  免疫组织化学  诊断
文章编号:1009-9727(2006)04-636-02
收稿时间:12 12 2005 12:00AM
修稿时间:2005-12-12

Analysis of clinicopathological and immunohistochemical features of 73 gastric spindled cell tumor patients
TAN Shun, WU Wen- chuan, LUO Zhi - fei,et al..Analysis of clinicopathological and immunohistochemical features of 73 gastric spindled cell tumor patients[J].China Tropical Medicine,2006,6(4):636-637,721.
Authors:TAN Shun  WU Wen- chuan  LUO Zhi - fei  
Institution:Department of pathology, Affiliated Hospital of Halnan Medical College, Halkou 570102, Hainan, P.R.China
Abstract:Objective To investigate the clinicopathological and immunohistochemical features of gastric spindled cell tumors. Methods The expression of c-kit(CD117)?CD34?vimentin?S-100 and actin protein in all cases were determined with S-P immunohistochemical method. Results Of the 73 cases 6 were classified as at potential risk, 34 at low risk, 21 at moderate risk and 12 at high risk. 60 cases were diagnosed as gastrointestinal stromal tumors, 8 smooth muscle tumors and 3 neurogenic tumors were diagnosed. The risk of invasion behavior was related to the location of these tumors(P<0.05). Conclusion Multiple immunohistochemical markers should be used in the diagnosis of gastric spindled cell tumors.
Keywords:Gastrointesfine  Spindled cell tumors  Stromal tumors  Immunohistochemistry  Diagnosis
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