细胞角蛋白在肿瘤性滋养细胞 的检测中的应用价值
Applied value of cytokeratin in the detection of neoplastic trophoblasts
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摘要: 应用免疫组化方法,采用广谱抗细胞角蛋白单克隆抗体,检测129例滋养细胞肿瘤(葡萄胎30例,侵蚀性葡萄胎41例,绒毛膜癌58例)中肿瘤性滋养细胞内细胞角蛋白表达.结果表明,肿瘤性合体滋养细胞(ST)、中间型滋养细胞(IT)及细胞滋养细胞(CT)内细胞角蛋白的阳性表达率均为100%.ST呈强阳性表达,其表达形式为胞浆型;IT呈中-强阳性表达,多数为胞浆型;CT呈中等强度阳性,一般为质膜型.我们认为,细胞角蛋白实为肿瘤性滋养细胞(包括转移瘤)的一种更为敏感、可靠的标志物,在滋养细胞肿瘤的病理诊断、鉴别诊断及肿瘤浸润范围的确定方面具有重要的应用价值.Abstract: The expression of cytokeratin in 129 trophoblastic tumors was studied immunohistochemically using an antibody against broad spectrum cytokeratin. The results showed that the positive rate of neoplastic syncytiotrophoblast (ST) ; intermediate trophoblast (IT) and cytotrophoblast (CT) was 100% respectively. The expression of ST showed strong positive, and plasma type; the expression of IT was middle to strong positive,most of IT was plasma type; the expression of CT appeared middle positive, and plasma membrane type. We beliyed that cytokeratin was a sensitive and reliable marker for neoplastic trophoblasts (including metastatic tumor), and had important value for pathological diagnosis, deferred diagnosis and determination of infiltrating range of trophoblastictumors.