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免疫组织化学在纤维支气管镜活检诊断及鉴别诊断中的应用

Utilizing of immunohistochemicine in diagnosis and differential diagnosis of tissues biosied by fiber brochoscope

  • 摘要: 运用免疫组织化学技术对51例纤维支气管镜咬检组织中的角蛋白(KER)及癌胚抗原(CEA)进行检测,并设5例正常支气管粘膜肺组织作对照。结果正常支气管粘膜肺组织均呈CEA阴性,而癌组织的阳性率为62%;各型肺癌的可疑组与确诊组的阳性率及染色强度均无差异;鳞状细胞癌(鳞癌)KER染色的阳性率及染色强度均与腺癌有显著差异;小细胞癌KER染色阳性率为90%。作者认为在纤支镜咬检组织的诊断中CEA染色可用于肿瘤的定性诊断;而KER检测对鳞癌与腺癌的鉴别有一定帮助;小细胞癌KER染色的高阳性率支持其与其他非小细胞癌共同起源于干细胞的说法。

     

    Abstract: Utlizing an immunohistochemical method to detect keratin(KER) and careinoembryonic antigen (CEA) in 51 carcinoma tissues biopsied by fiber brochoscope. 5 cases normal bronchial mucous and lung tissue-control group. The results: CEA was negative in all cases of control group. The positive rate of CEA was 62% in all of the 50 lung cancer cases. In each pathologic type lung cancer, there was no significant difference between confirmed group and dudious group both in positiverate and staining intensith of CEA and KER. There was significant difference between squdrious carcinoma and adenocareinoma in postive rate and stainging intensity of KER staining. The positive rate of KER in small cell carcinoma of lung was 90%.We suggested that CEA staining be used in qUaliwhve diagnosis of lung carcinoma for tissues biopsied by fiber brochosccpe, KER staining give some help on diffeedal diagnosis between squamious careinoma and adenocareinoma of lung. The high positive rate of KER staining in small cell carcinoma supports the view that both small cell and no-small cell caxcinornas originate from stem cell.

     

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