Nasu Kaei, Fujisawa Kayo, Takai Noriyuki, Miyakawa Isao
Department of Obstetrics and Gynecology, Oita Medical University, Hasama-machi, Oita 879-5593, Japan.
Int J Gynecol Cancer. 2002 Mar-Apr;12(2):228-31. doi: 10.1046/j.1525-1438.2002.01101.x.
A case of angiomyofibroblastoma of the vulva in a 53-year-old woman was examined by means of immunohistochemistry. Histological examination of the tumor revealed typical characteristics of vulval angiomyofibroblastoma. Immunohistochemistry of the tumor cells revealed diffuse immunoreactivity for estrogen receptors, progesterone receptors, vimentin, and CD34. The stains for cytokeratin, epithelial membrane antigen, desmin, smooth muscle alpha-actin, muscle-specific actin, and S-100 were negative. These results were mostly consistent with those of previous reports and suggest that the tumors cells were derived from primitive mesenchymal cells which occur normally in this lesion and which show the potential for diverse lines of myoid differentiation.
对一名53岁女性外阴血管肌成纤维细胞瘤病例进行了免疫组织化学检查。肿瘤的组织学检查显示出外阴血管肌成纤维细胞瘤的典型特征。肿瘤细胞的免疫组织化学显示雌激素受体、孕激素受体、波形蛋白和CD34呈弥漫性免疫反应。细胞角蛋白、上皮膜抗原、结蛋白、平滑肌α-肌动蛋白、肌肉特异性肌动蛋白和S-100的染色均为阴性。这些结果大多与先前的报道一致,提示肿瘤细胞起源于原始间充质细胞,这些细胞正常存在于该病变中,并显示出多种肌样分化谱系的潜能。