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乳房外Paget病中汗腺病理及免疫组化分析
引用本文:曾学思,姜祎群,李阿梅,桑红桂. 乳房外Paget病中汗腺病理及免疫组化分析[J]. 中国麻风皮肤病杂志, 2003, 19(6): 530-532
作者姓名:曾学思  姜祎群  李阿梅  桑红桂
作者单位:中国医学科学院皮肤病研究所病理室,南京,210042
摘    要:目的:分析乳房外Paget病(EMPD)中汗腺上皮组织CK7和CEA的表达及临床意义。方法:应用免疫组化SP法对15例EMPD皮损和周边正常皮肤CK7和CEA的表达进行检测。结果:15例中有8例在汗腺腺体及导管部见CK7和CEA呈阳性,其中仅5例发现汗腺上皮细胞呈异常改变。结论:免疫组化方法在诊断和鉴别诊断EMPD中汗腺上皮细胞的不典型增生具有一定价值。

关 键 词:乳房外Paget病 汗腺 病理学 免疫组化 肿瘤细胞 鉴别诊断 预后

Pathological and immunohistochemical analyses in the sweat glands of extramammary Paget''s disease
Zeng Xuesi,Jiang Yiqun,Li Amei,et,al. Pathological and immunohistochemical analyses in the sweat glands of extramammary Paget''s disease[J]. China Journal of Leprosy and Skin Diseases, 2003, 19(6): 530-532
Authors:Zeng Xuesi  Jiang Yiqun  Li Amei  et  al
Affiliation:Zeng Xuesi,Jiang Yiqun,Li Amei,et,al. Institute of Dermatology,Chinese Academy of medical Sciences and Peking Union Medical College,Nanjing,210042
Abstract:Objective: To determine the expression of CK7 and CEA in the epithelium of sweat glands and ducts in extramammary Paget's disease (EMPD) and the correlated clinical significance.Methods: The expressions of CK7 and CEA in skin lesions and adjacent normal skin of 15 patients with EMPD were tested using immunohistochemical staining (SP).Results: It was found that epithelium of eccrine and apocrine sweat glands and ducts were distinctly positive for both CK7 and CEA in 8 of 15 cases. Out of them, the neoplastic change was identified by pathological examination only in 5 cases. Conclusion : Immunohistochemical method is valuable in diagnosis and differential diagnosis of the atypical neoplastic cells for EMPD.
Keywords:extramammary Paget's disease  sweat gland  CK7  immunohistochemistry
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