首页|胃肠胰腺癌伴神经内分泌分化和胃肠胰混合性腺-神经内分泌癌的临床病理研究

胃肠胰腺癌伴神经内分泌分化和胃肠胰混合性腺-神经内分泌癌的临床病理研究

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目的 探讨胃肠胰腺癌伴神经内分泌分化(NED)和胃肠胰混合性腺-神经内分泌癌(MANEC)的临床病理特征.方法 回顾性分析浙江省中医院29例胃肠胰腺癌伴神经内分泌分化和7例胃肠胰MANEC患者的临床病理资料,对其组织学苏木精-伊红染色(HE)及免疫组织化学染色(IHC)进行观察,比较IHC指标及肿瘤远处转移与临床病理指标间的关系.结果 胃肠胰腺癌伴NED和MANEC患者各临床病理指标和IHC表达率之间差异无统计学意义;神经内分泌指标表达阳性率与临床病理因素之间差异无统计学意义;远处转移与临床病理因素之间差异无统计学意义.结论 结合形态学HE染色和免疫组化IHC染色胃肠胰腺癌伴NED和MANEC具有很高的异质性,临床分期及分级是主要的预后因素,早期诊断及治疗可改善患者预后.
Clinicopathological study of gastrointestinal pancreatic carcinoma with neuroendocrine differentiation and mixed adenocarcinoma of the pancreas and pancreas
Objective To investigate the clinicopathological features of gastrointestinal carcinoma with neuroendocrine differentiation (NED) and mixed adenocarcinoma of the pancreas and pancreas (MANEC). Methods Clinical and pathological data of 29 cases in Zhejiang Chinese medicine hospital with gastrointestinal pancreatic cancer with neuroendocrine branch and 7 cases with gastrointestinal pancreatic MANEC patients were analyzed retrospectively. Hematoxylin eosin staining of the tissue (HE) and immunohistochemistry (IHC) were observed, the relationship between IHC index and tumor distant metastasis and clinical pathological indicators between. Results Gastrointestinal pancreatic cancer with NED and MANEC in patients with various clinicopathological parameters and IHC expression rate difference was not statistically significant;neuroendocrine index expression difference between the positive rate and clinical pathological factors were not statistically significant; there was no significant difference between distant metastasis and clinical pathological factors. Conclusion Combined with morphological HE staining and immunohistochemical IHC staining, gastrointestinal carcinoma with NED and MANEC has high heterogeneity. Clinical staging and grading are the major prognostic factors. Early diagnosis and treatment can improve the prognosis of patients.

gastrointestinal pancreas adenocarcinomaneuroendocrine differentiationmixed gonadal neuroendocrine carcinomaimmunohistochemistry

吴湘萍

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浙江省中医院 病理科,浙江 杭州 310006

胃肠胰腺癌 神经内分泌分化 混合性腺-神经内分泌癌 免疫组织化学

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(9)
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