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18例胃肠道间质瘤临床病理研究及免疫组化分析
引用本文:温建成,黄小萍,苏少雪,王延红,刘俊斌,蔡岳华.18例胃肠道间质瘤临床病理研究及免疫组化分析[J].基层医学论坛,2006,10(7):291-293.
作者姓名:温建成  黄小萍  苏少雪  王延红  刘俊斌  蔡岳华
作者单位:潮州市中心医院,广东,潮州,521000
摘    要:目的探讨胃肠道间质瘤组织病理学形态特征和免疫组化特点。方法对18例胃肠道间质瘤进行常规病理检查和免疫组化CD117、CD34、Vimentin、Desmin、SMA、S-100和NSE染色。结果胃肠道间质瘤由梭形细胞和上皮样细胞组成,其中良性3例,潜在恶性9例,恶性6例,绝大多数病例肿瘤细胞CD117和CD34标记阳性。结论胃肠道间质瘤是胃肠道常见的间叶源性肿瘤,缺乏定向分化。肿瘤细胞CD117和CD34标记阳性对胃肠道间质瘤的诊断具有非常重要的价值。

关 键 词:胃肠道间质瘤  免疫组织化学
修稿时间:2006年1月19日

A clinicopathologic and immunohistochemical study on 18 cases of gastrointestinal stromal tumors
Wen Jiancheng,Huang Xiaoping,Su Shaoxue,et al..A clinicopathologic and immunohistochemical study on 18 cases of gastrointestinal stromal tumors[J].Public Medical Forum Magazine,2006,10(7):291-293.
Authors:Wen Jiancheng  Huang Xiaoping  Su Shaoxue  
Institution:Wen Jiancheng,Huang Xiaoping,Su Shaoxue,et al.Chao Zhou municipal central hospital,Department of pathology,1Department of oncology,Chao Zhou,521000
Abstract:Objetive To study the clinicopathological and immunohistochemical features of gastrointestinal stromal tumors (GISTs). Methods 18 cases ofGISTs were studied byroutine pathologic examination and immunohisto- chemical stains of CD117, CD34, Vimentin, Desmin, SMA, S- 100 and NSE. Results 18 cases of GISTs consisted of two basic cell types: spindle and epithelioid cells, among them, 3 cases of benign GIST, 9 cases of GIST with bordenline malignancyand 6 cases ofmalignant GIST. Most cases ofGISTs were spindle cell type (77.8%). The positive expression rate ofCD117 was 100%, that ofCD34 was 83.3%. Conclusion GISTs that have noevidence ofspecific differentiation are common mesenchymal tumors of gastrointestinal tract. The positive expression of CD117 and CD34 plays a very im- portant role in the diagnosis ofGISTs.
Keywords:CD117  CD34
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