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原发性鼻粘膜恶性黑色素瘤病理和免疫组化观察
引用本文:徐纪为,陈丽荣,王培基,李智渊. 原发性鼻粘膜恶性黑色素瘤病理和免疫组化观察[J]. 中华耳鼻咽喉头颈外科杂志, 1995, 0(2)
作者姓名:徐纪为  陈丽荣  王培基  李智渊
作者单位:温州医学院第一医院病理科,浙江医科大学肿瘤研究所,温州医学院第一医院耳鼻咽喉科
摘    要:报道40例原发性鼻粘膜恶性黑色素瘤(手术和活检标本各20例)的病理和免疫组化观察,结果显示本瘤大体上14例呈息肉状。光镜形态以多种细胞类型和组织形态混合存在为主要特点.免疫组化染色显示本瘤S-100蛋白和波纹蛋白阳性率分别为90%和77.5%,角蛋白阴性。认为本瘤的组织发生可能来自鼻腔粘膜先前存在的黑色素细胞。组织学的多形性和免疫组化S-100蛋白及波纹蛋白阳性对诊断本瘤的无色素型有重要意义。

关 键 词:鼻粘膜,黑素瘤,免疫化学

Pathological and Imnunohistochemical Studies on Primary Nasal Mucosal Malignant Melanoma
Xu Jiwei,Chen Lirong,Wang Peiji ,et al.. Pathological and Imnunohistochemical Studies on Primary Nasal Mucosal Malignant Melanoma[J]. Chinese journal of otorhinolaryngology head and neck surgery, 1995, 0(2)
Authors:Xu Jiwei  Chen Lirong  Wang Peiji   et al.
Abstract:The pathological and immunohistochemical features of primary nasal mucosal malignant melanoma(PNMMM)were reuorted in 40 cases.The results showed that approximate 70%of PNM-MM was polypoid.The principal features were the mixed existance of different cellular patterns and morphologies.Immunohistochemically ,PNMMM reactitvity to S-100 protein and vimentin was 90% and 77.5%,respectively,along with no reactivity to Keratin .We believe that PNMMM may arise from preexistant melocytes in nasal mucosa .Histological Pleomorphism and immunohistochemical reactivity to S-100 protein and vimentinwere of importance for diagnosis of PMMM ,especially for the amelanotic type.
Keywords:Nasal mucosa Melanoma Immunochemistry  
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