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伴间叶性间质的肝内胆管囊腺瘤:一种激素依赖性肿瘤。5例报告及激素受体的免疫组化研究

[Hepatobiliary cystadenoma with mesenchymal stroma: a hormone dependent tumor. Report of five cases with immunohistochemical study of hormone receptors].

作者信息

Pedram-Canihac M, Le Bail B, Rivel J, Blanc J, Saric J, Bioulac-Sage P

机构信息

Service d'Anatomie Pathologique, Hôpital Pellegrin, place Amélie-Raba-Léon, 33076 Bordeaux.

出版信息

Ann Pathol. 2000 Jan;20(1):14-8.

Abstract

Hepatobiliary cystadenomas with mesenchymal stroma are rare neoplasms, which occur only in females; they have a strong tendency to recur and a potential for malignant transformation. Microscopic features are characteristic but clinical findings are highly variable and laboratory data non specific. We report 5 cases with immunohistochemical study, showing the characteristics of mesenchymal stromal cells: myofibroblastic phenotype and expression of progesterone receptors in all cases and estrogen receptors in 3 out of 5 cases. These results point out the possible hormonal dependance of this tumor.

摘要

伴有间充质基质的肝胆管囊腺瘤是罕见的肿瘤,仅发生于女性;它们有很强的复发倾向和恶变潜能。显微镜下特征具有特异性,但临床表现高度多变,实验室数据无特异性。我们报告5例并进行免疫组化研究,显示间充质基质细胞的特征:所有病例均为肌成纤维细胞表型且表达孕激素受体,5例中有3例表达雌激素受体。这些结果指出了该肿瘤可能存在激素依赖性。

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