超声引导下粗针活检术联合CD34免疫组化标记在隆突性皮肤纤维肉瘤诊断中的应用
Application of ultrasound-guided core needle biopsy combined with CD34 immunohistochemistry labeling in the diagnosis of dermatofibrosarcoma protuberans
魏莉 1孟宪杰 2洪蕾 1王丽1
作者信息
- 1. 石河子市人民医院超声诊断科,新疆石河子 832000
- 2. 石河子市人民医院病理科,新疆石河子 832000
- 折叠
摘要
目的 探讨超声引导下粗针活检术联合CD34在隆突性皮肤纤维肉瘤的诊断中的应用价值.方法 回顾性分析于术前经超声引导下粗针活检术及CD34免疫组化标记诊断为隆突性皮肤纤维肉瘤的32例患者的病理资料与超声检查结果,并将其与手术后病理结果进行对比分析.结果 32例患者中,30例患者于术前经超声引导下粗针活检术及CD34免疫组化标记诊断为隆突性皮肤纤维肉瘤,1例患者诊断为"倾向于隆突性皮肤纤维肉瘤",另1例考虑"间叶源性肿瘤,不能除外纤维肉瘤".术后病理结果提示31例患者为隆突性皮肤纤维肉瘤,1例患者为纤维肉瘤型皮肤纤维肉瘤.超声引导下粗针活检术联合CD34免疫组化标记诊断隆突性皮肤纤维肉瘤与术后病理结果的符合率为93.75％(30/31).结论 超声引导下粗针活检术联合CD34免疫组化标记诊断隆突性皮肤纤维肉瘤的准确性高,具有较大的临床应用价值.
Abstract
Objective To discuss the application value of ultrasound-guided core needle biopsy combined with CD34 immunohis-tochemistry in the diagnosis of dermatofibrosarcoma protuberans.Methods The pathological data and ultrasound examination results of 32 patients diagnosed with dermatofibrosarcoma protuberans through preoperative ultrasound-guided core needle biopsy and CD34 immunohistochemistry labeling were retrospectively analyzed,and compared the results with postoperative pathological results.Re-sults Among the 32 patients,30 were diagnosed with dermatofibrosarcoma protuberans by ultrasound-guided coarse needle biopsy and CD34 immunohistochemical labeling before surgery,1 patient was diagnosed with"tendency towards protuberant skin fibrosar-coma",and the other patient was considered"mesenchymal tumor,fibrosarcoma cannot be excluded".The postoperative pathological results showed that 31 patients had dermatofibrosarcoma protuberans,and 1 patient had fibrosarcoma type fibrosarcoma.The coinci-dence rate between ultrasound-guided coarse needle biopsy combined with CD34 immunohistochemical labeling in the diagnosis of der-matofibrosarcoma protuberans and postoperative pathological results was 93.75％(30/31).Conclusion US-CNB combined with CD34 has a high coincidence rate in the diagnosis of dermatofibrosarcoma protuberans,which was of great clinical value.
关键词
隆突性皮肤纤维肉瘤/超声引导下粗针穿刺术/超声检查/CD34/病理/临床Key words
Protuberant skin fibrosarcoma/Ultrasound-guided needle biopsy/CD34/Pathology/Clinical引用本文复制引用
出版年
2024
NETL
NSTL
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