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侵袭性垂体腺瘤的临床病理分析

The clinical pathologic research of invasive pituitary adenomas

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目的 分析侵袭性垂体腺瘤的临床病理特征,为临床早期诊断提供依据.方法 将130例垂体瘤患者分为侵袭性垂体腺瘤和非侵袭性垂体腺瘤两组,并分析比较两组的临床资料.结果 侵袭性组瘤细胞高核质比、多细胞性、核异型性、出现核仁等病理形态学特征发生率明显高于非侵袭性组(均P<0.05);电镜观察到侵袭性组核异型及核仁边集现象.同时发现侵袭性组微血管密度表达率明显高于非侵袭性组(P<0.05).结论 垂体腺瘤细胞病理形态学变化和微血管密度的增高对肿瘤侵袭性的诊断具有重要的参考价值,为临床早期诊断肿瘤的侵袭性提供了有价值的指标.
Objective To study the pathological morphologic characteristics of invasive pituitary tumor and the affect of vascularization to the tumor's invasion. Methods One hundred and thirty cases of pituitary adenoma patients were divided into two groups, including invasive pituitary adenomas and non-invasive pituitary adenomas, and the clinical data of two groups were analysed and compared. Results The difference was statistically significant between the invasive group and the non-invasive group in the incidence rate of pathological morphologic characteristics such as high nuclearcytoplasmic ratio, cell pleo-morphism, nuclear atypia and nucleoli appearance(P <0. 05) ; there were nuclear atypia and nucleolus margination in the invasive group through electron microscopy. And there was statistical significant difference in rate of MVD expression which was higher in the invasive group than that of noninvasive group (P <0. 05). Conclusion The pathological morphologic characteristics of pituitary tumor and the high expression of MVD are significantly reference valuable in tumor aggression diagnosis, which provides valuable indicators for early clinical diagnosis of tumor invasion.

pituitary adenomainvasionpathological morphologymicrovascular density

郭凌川、惠国桢、郑玉双、李向东、王守立

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苏州大学附属第一医院病理科,江苏苏州215006

苏州大学附属第一医院神经外科,江苏苏州215006

垂体腺瘤 侵袭 病理形态 微血管密度

2012

苏州大学学报(医学版)
苏州大学

苏州大学学报(医学版)

CSTPCD
影响因子:0.499
ISSN:1673-0399
年,卷(期):2012.32(4)
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