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胃肠道间质瘤病理、免疫组化特点及临床分析
引用本文:杨维群,邱建龙,黄种心.胃肠道间质瘤病理、免疫组化特点及临床分析[J].山西医科大学学报,2006,37(2):148-151.
作者姓名:杨维群  邱建龙  黄种心
作者单位:1. 泉州医学高等专科学校病理教研室,泉州,362000
2. 福建医科大学附属第二医院病理科,泉州,362000
摘    要:目的探讨胃肠道间质瘤(GIST)的临床病理特点及免疫组织化学表达特征。方法对61例GIST作了临床病理形态学观察和免疫组化分析,同时观察8例胃肠道平滑肌瘤作对比。结果61例GIST的CD117和CD34阳性率分别为100%和83.6%。8例平滑肌瘤CD117和CD34均为阴性,结蛋白(desmin)和平滑肌肌动蛋白(SMA)均呈弥漫强阳性表达。结论CD117和CD34标记阳性是确定间质瘤最具有诊断价值的依据,但不能作为良恶性判断指标。

关 键 词:胃肠道间质瘤  病理学  临床  原癌基因蛋白质c-kit  抗原  CD34
文章编号:1007-6611(2006)02-0148-04
修稿时间:2005年11月21

Immunohistochemical and clinicopathologic features of gastrointestinal stromal tumors
YANG Wei-qun,QIU Jian-long,HUANG Zhong-xin.Immunohistochemical and clinicopathologic features of gastrointestinal stromal tumors[J].Journal of Shanxi Medical University,2006,37(2):148-151.
Authors:YANG Wei-qun  QIU Jian-long  HUANG Zhong-xin
Abstract:Objective To study the clinicopathological and immunohistochemical characteristics of gastrointestinal stromal tumors(GIST). Methods Sixty-one patients with GIST were investigated with clinicopatholgical observation and immunohistochemical analysis.Another eight patients with leiomyoma in gastrointestimal tract were observed also. Results Among 61 cases of GIST,the positive rate of CD117 and CD34 was 100% and 83.6% repectively.In 8 cases of leiomy,both CD117 and CD34 were negative in tumor cells,while desmin and SMA were extensively positive. Conclusions CD117 and CD34 positivity are the most valuable factors for diagnosing stromal tumor.But it can not distinguish benign from malignant stromal tumors.
Keywords:gastrointestinal stromal tumor  pathology  clinical  proto-oncogene protein c-kit  antigen  CD34
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