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[嗜铬细胞瘤中的恶性标志物]

[Markers of malignancy in pheochromocytomas].

作者信息

Sporny Stanisław, Musiał Jacek

机构信息

Medical University of Lodz, Poland.

出版信息

Endokrynol Pol. 2005 Nov-Dec;56(6):946-51.

PMID:16821216
Abstract

A pheochromocytoma is a neoplasm composed of cells which synthesize and release catecholamines. These tumors produce the hypertension which can be cured with surgical excision of the lesion. The pathological picture of pheochromocytomas is varied and nothing but the presence of metastases can determine aggressiveness of this neoplasm. Current studies try to look for other biological markers which can separate malignant tumors before they metastasize. It allows to target with more effective therapy. Many studies analyze details of microscopic features of these tumors, immunohistochemical markers and molecular disorders. It seems that the most important factor in estimation of aggressiveness of pheochromocytomas is PASS scale. The detection of high expression of telomerase and hTERT and high proliferative activity, measured by immunohistochemistry with the MIB-1 antibody supports most strongly biological malignancy of pheochromocytoma.

摘要

嗜铬细胞瘤是一种由合成并释放儿茶酚胺的细胞组成的肿瘤。这些肿瘤会引发高血压,通过手术切除病灶可治愈。嗜铬细胞瘤的病理表现多样,只有出现转移才能确定该肿瘤的侵袭性。目前的研究试图寻找其他生物标志物,以便在恶性肿瘤发生转移之前将其区分出来,从而进行更有效的靶向治疗。许多研究分析了这些肿瘤的微观特征细节、免疫组化标志物和分子紊乱情况。在评估嗜铬细胞瘤的侵袭性方面,最重要的因素似乎是PASS量表。通过使用MIB-1抗体进行免疫组化检测到端粒酶和hTERT的高表达以及高增殖活性,最有力地支持了嗜铬细胞瘤的生物学恶性特征。

相似文献

1
[Markers of malignancy in pheochromocytomas].[嗜铬细胞瘤中的恶性标志物]
Endokrynol Pol. 2005 Nov-Dec;56(6):946-51.
2
KI-67 AND hTERT expression can aid in the distinction between malignant and benign pheochromocytoma and paraganglioma.KI-67和hTERT的表达有助于区分恶性和良性嗜铬细胞瘤及副神经节瘤。
Mod Pathol. 2003 Mar;16(3):246-55. doi: 10.1097/01.MP.0000056982.07160.E3.
3
[Analysis of morphology of adrenal pheochromocytoma as regards their potential malignancy].肾上腺嗜铬细胞瘤潜在恶性的形态学分析
Endokrynol Pol. 2005 Nov-Dec;56(6):911-6.
4
[Morphological criteria of the malignancy of pheochromocytoma].[嗜铬细胞瘤恶性的形态学标准]
Arkh Patol. 1984;46(12):30-6.
5
Elevated levels of telomerase activity in malignant pheochromocytoma.恶性嗜铬细胞瘤中端粒酶活性水平升高。
Cancer. 1998 Jan 1;82(1):176-9.
6
Pheochromocytoma of the Adrenal gland Scaled Score (PASS) to separate benign from malignant neoplasms: a clinicopathologic and immunophenotypic study of 100 cases.肾上腺嗜铬细胞瘤分级评分(PASS)用于区分良性与恶性肿瘤:100例病例的临床病理及免疫表型研究
Am J Surg Pathol. 2002 May;26(5):551-66. doi: 10.1097/00000478-200205000-00002.
7
Predicting metastasis of pheochromocytomas using DNA flow cytometry and immunohistochemical markers of cell proliferation: A positive correlation between MIB-1 staining and malignant tumor behavior.利用DNA流式细胞术和细胞增殖免疫组化标记物预测嗜铬细胞瘤转移:MIB-1染色与恶性肿瘤行为之间呈正相关。
Cancer. 1999 Oct 15;86(8):1583-9.
8
Malignant pheochromocytoma: new malignancy criteria.恶性嗜铬细胞瘤:新的恶性肿瘤标准。
Langenbecks Arch Surg. 2012 Feb;397(2):239-46. doi: 10.1007/s00423-011-0850-3. Epub 2011 Nov 9.
9
[Hypertension, catecholamine hypersecretion and potential for metastasis: recent progress in the pathophysiology and genetics of pheochromocytoma and paraganglioma].[高血压、儿茶酚胺分泌过多与转移潜能:嗜铬细胞瘤和副神经节瘤病理生理学与遗传学的最新进展]
Bull Acad Natl Med. 2015 Feb-Mar;199(2-3):313-9.
10
Hypertension in patients with pheochromocytoma.嗜铬细胞瘤患者的高血压
Curr Hypertens Rep. 1999 Dec;1(6):540-5. doi: 10.1007/s11906-996-0027-6.

引用本文的文献

1
The local spread of pheochromocytoma after adrenalectomy with a rupture of the tumor capsule at the time of the surgery.嗜铬细胞瘤在肾上腺切除术后出现局部扩散,手术时肿瘤包膜破裂。
Open Med (Wars). 2015 Aug 4;10(1):335-337. doi: 10.1515/med-2015-0049. eCollection 2015.
2
From arterial hypertension complications to von Hippel-Lindau syndrome diagnosis.从动脉高血压并发症到冯·希佩尔-林道综合征的诊断
Ital J Pediatr. 2015 Aug 13;41:56. doi: 10.1186/s13052-015-0158-y.
3
A spontaneous paraganglioma-pheochromocytoma syndrome.一种自发性副神经节瘤-嗜铬细胞瘤综合征。
Cent European J Urol. 2014;66(4):437-9. doi: 10.5173/ceju.2013.04.art12. Epub 2014 Jan 27.