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[子宫浆液性腺癌:形态学诊断及免疫组化标准]

[Serous adenocarcinoma of the uterus: criteria of morphological diagnosis and immunohistochemistry].

作者信息

Vasil'eva E V, Belianin V L

出版信息

Arkh Patol. 2005 Mar-Apr;67(2):25-7.

Abstract

The analysis of the histopathologic features in 138 patients with uterine serous adenocarcinoma in comparison with 146 patients with uterine endometrioid papillary adenocarcinoma revealed morphological specificities of these carcinomas. Immunohistochemical study found that 66.7% uterine serous adenocarcinomas were negative both to estrogen and progesterone receptors and 86.7% uterine serous adenocarcinomas showed p53 oncoprotein overexpression. The data support the hypothesis that uterine serous adenocarcinoma is a hormone-negative tumor and that mutation of p53 tumor suppressor gene may play a leading role in its carcinogenesis.

摘要

对138例子宫浆液性腺癌患者与146例子宫内膜样乳头状腺癌患者的组织病理学特征进行分析,揭示了这些癌症的形态学特异性。免疫组织化学研究发现,66.7%的子宫浆液性腺癌雌激素和孕激素受体均为阴性,86.7%的子宫浆液性腺癌显示p53癌蛋白过表达。这些数据支持以下假说:子宫浆液性腺癌是一种激素阴性肿瘤,p53肿瘤抑制基因的突变可能在其致癌过程中起主导作用。

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