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附睾腺瘤样瘤5例组织学和免疫组化观察

A histologic and immunohistochemical study of 5 adenomatoid tumors in epididymis

  • 摘要: 本文对5例附睾腺瘤样瘤的组织学和免疫组化特征进行了观察。结果表明,肿瘤对细胞角蛋白(cytokeratin)、上皮膜抗原(EMA)和波形蛋白(vementin)均呈阳性反应,对第八因子相关抗原(FvlllRAg)均呈阴性表达。这些结果明确揭示了肿瘤细胞的双向分化特征,进一步支持该瘤间皮起源的观点。在病理诊断中,该瘤须与上皮样血管瘤和腺癌进行鉴别。

     

    Abstract: The observational results on histology and immunohistochemistry of 5 adenomatoid tumors in epididymis showed that there were strong positive expressions for cytokeratin,epithelial membrane antigen(EMA)and vementin,and negativity for factor Vlll-related antigen(FV111RAg) in all tumor cells.These observations exhibited a obvious biphasic differentiated (epithelial and mesenchymal)nature of tumor cells,and indicated that adenomatoid tumors were of mesothelial origin.In differential diagnosis,adenomatoid tumor should be distinqushed from epithelioid(histocytoid)hemangioma and adenocarcinoma in epididymis.

     

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