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人睾丸生殖细胞肿瘤的凝集素组织化学

Lectin histochemistry of human testicular germ cell tumors.

作者信息

Kosmehl H, Langbein L, Katenkamp D

机构信息

Institute of Pathological Anatomy, Friedrich Schiller University, Jena, DDR.

出版信息

Neoplasma. 1989;36(1):29-39.

PMID:2539568
Abstract

The lectin binding pattern (WGA, UEA-I, PNA, PSA, Con A, RCA and LCA) of 28 human testicular germ cell tumors (pure or combination tumors) was investigated. Lectin binding sites could be demonstrated in all germ cell tumor types. In classic and spermatocytic seminomas as well as seminomas with high mitotic index an equal distribution of lectin binding sites was observed. In embryonal carcinomas the lectin binding of UEA-I, PNA, WGA, LCA and RCA correlated to histological differentiation. A polarized staining of WGA, PNA, RCA and UEA-I, typical for embryonal carcinomas, yolk sac tumors and teratomas, was never seen in seminomatous tumors and may be of importance in differential diagnosis. By means of Con A decoration it was possible to distinguish cytotrophoblastic and syncytiotrophoblastic differentiation. Aspects of lectin histochemistry in tumor biology in general and in differential diagnosis of germ cell tumors in particular are discussed.

摘要

对28例人类睾丸生殖细胞肿瘤(纯肿瘤或混合性肿瘤)的凝集素结合模式(小麦胚芽凝集素、荆豆凝集素-I、花生凝集素、前列腺特异性抗原、刀豆蛋白A、蓖麻凝集素和扁豆凝集素)进行了研究。在所有生殖细胞肿瘤类型中均能显示凝集素结合位点。在经典型和精母细胞性 seminomas 以及有高有丝分裂指数的 seminomas 中,观察到凝集素结合位点分布均匀。在胚胎癌中,荆豆凝集素-I、花生凝集素、小麦胚芽凝集素、扁豆凝集素和蓖麻凝集素的凝集素结合与组织学分化相关。在 seminomatous 肿瘤中从未见过胚胎癌、卵黄囊瘤和畸胎瘤典型的小麦胚芽凝集素、花生凝集素、蓖麻凝集素和荆豆凝集素-I 的极化染色,这在鉴别诊断中可能具有重要意义。通过刀豆蛋白A 标记,可以区分细胞滋养层和合体滋养层分化。本文讨论了凝集素组织化学在肿瘤生物学总体方面,特别是在生殖细胞肿瘤鉴别诊断中的相关问题。 (注:seminomas 一般译为精原细胞瘤,但原文未给出准确中文对应,保留英文更合适)

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