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犬口腔具有骨软骨分化的黑色素瘤的免疫组织化学特征及预后因素评估

Immunohistochemical characterization and evaluation of prognostic factors in canine oral melanomas with osteocartilaginous differentiation.

作者信息

Sánchez J, Ramirez G A, Buendia A J, Vilafranca M, Martinez C M, Altimira J, Navarro J A

机构信息

Departamento de Anatomía y Anatomía Patológica Comparadas, Facultad de Veterinaria, Universidad de Murcia, 30100 Murcia, Spain.

出版信息

Vet Pathol. 2007 Sep;44(5):676-82. doi: 10.1354/vp.44-5-676.

Abstract

Melanomas are the most common malignant oral neoplasm in dogs. Osteocartilaginous differentiation in oral melanomas is a rare feature described both in veterinary and human medicine. Here, 10 cases of this type of neoplasm were used to study their immunohistochemical, biological, and clinical characteristics. Reactivity for S100 and melan A antigen was evaluated, and 4 prognosis factors (mitotic index, invasiveness of epithelium, nuclear atypia, and proliferation index) were analyzed and correlated with the clinical course of the neoplasms after diagnosis. Immunohistochemical analysis of the studied neoplasms, including the osteocartilaginous areas, showed positive immunoreaction for S100 and melan A, except in one dog, which was negative for melan A. Analysis of the results showed that oral melamonas with osteocartilaginous differentiation have a clinical course similar to that of other melanomas in the oral cavity. Analysis of the mitotic index and the expression of proliferation marker Ki-67 could be useful tools for predicting the biological behavior of these neoplasms.

摘要

黑色素瘤是犬类最常见的口腔恶性肿瘤。口腔黑色素瘤中的骨软骨分化是兽医和人类医学中均有描述的罕见特征。在此,使用10例此类肿瘤来研究其免疫组织化学、生物学和临床特征。评估了S100和黑色素A抗原的反应性,并分析了4个预后因素(有丝分裂指数、上皮浸润性、核异型性和增殖指数),并将其与诊断后肿瘤的临床病程相关联。对所研究肿瘤(包括骨软骨区域)的免疫组织化学分析显示,除一只犬黑色素A呈阴性外,S100和黑色素A均呈阳性免疫反应。结果分析表明,具有骨软骨分化的口腔黑色素瘤的临床病程与口腔中其他黑色素瘤相似。有丝分裂指数和增殖标志物Ki-67表达的分析可能是预测这些肿瘤生物学行为的有用工具。

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