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唾液腺病变细针穿刺中的胶质纤维酸性蛋白免疫反应性:唾液腺肿瘤鉴别诊断的有用辅助手段。

Glial fibrillary acid protein immunoreactivity in fine-needle aspiration of salivary gland lesions: a useful adjunct for the differential diagnosis of salivary gland neoplasms.

作者信息

Ostrzega N, Cheng L, Layfield L

机构信息

Department of Pathology, UCLA School of Medicine 90024.

出版信息

Diagn Cytopathol. 1989;5(2):145-9. doi: 10.1002/dc.2840050207.

DOI:10.1002/dc.2840050207
PMID:2550189
Abstract

The value of immunocytochemical staining for glial fibrillary acid protein (GFAP) in salivary gland lesions was investigated in 33 fine-needle aspiration smears. The study utilized cytologic material from ten pleomorphic adenomas, six normal salivary glands, three cases of chronic sialadenitis, three Warthin's tumors, two adenoid cystic carcinomas, three adenocarcinomas, two malignant mixed tumors, one acinic cell carcinoma, and three mucoepidermoid carcinomas. All tested pleomorphic adenomas stained positively. The adenoid cystic carcinomas and the cases of chronic sialadenitis, along with the low-grade mucoepidermoid carcinoma, were negative for GFAP immunoreactivity. These results indicate that immunostaining for GFAP may be a valuable aid in the diagnosis of pleomorphic adenoma; GFAP may be especially helpful in distinguishing those cases for which the differential diagnosis includes the aforementioned salivary gland neoplasms.

摘要

在33份细针穿刺涂片标本中,对唾液腺病变进行了胶质纤维酸性蛋白(GFAP)免疫细胞化学染色价值的研究。该研究使用了来自10例多形性腺瘤、6例正常唾液腺、3例慢性涎腺炎、3例沃辛瘤、2例腺样囊性癌、3例腺癌、2例恶性混合瘤、1例腺泡细胞癌和3例黏液表皮样癌的细胞学材料。所有检测的多形性腺瘤均呈阳性染色。腺样囊性癌、慢性涎腺炎病例以及低级别黏液表皮样癌的GFAP免疫反应呈阴性。这些结果表明,GFAP免疫染色可能有助于多形性腺瘤的诊断;GFAP在鉴别诊断包括上述唾液腺肿瘤的病例中可能特别有用。

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1
Glial fibrillary acid protein immunoreactivity in fine-needle aspiration of salivary gland lesions: a useful adjunct for the differential diagnosis of salivary gland neoplasms.唾液腺病变细针穿刺中的胶质纤维酸性蛋白免疫反应性:唾液腺肿瘤鉴别诊断的有用辅助手段。
Diagn Cytopathol. 1989;5(2):145-9. doi: 10.1002/dc.2840050207.
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Distinctive pattern of glial fibrillary acidic protein immunoreactivity useful in distinguishing fragmented pleomorphic adenoma, canalicular adenoma and polymorphous low grade adenocarcinoma of minor salivary glands.胶质纤维酸性蛋白免疫反应的独特模式有助于鉴别小涎腺的碎裂多形性腺瘤、小管状腺瘤和多形性低度腺癌。
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Differential diagnosis of pleomorphic adenoma by immunohistochemical means.通过免疫组织化学方法对多形性腺瘤进行鉴别诊断。
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Coexpression of glial fibrillary acid protein, keratin and vimentin. A unique feature useful in the diagnosis of pleomorphic adenoma of the salivary gland in fine needle aspiration biopsy smears.胶质纤维酸性蛋白、角蛋白和波形蛋白的共表达。这是细针穿刺活检涂片诊断涎腺多形性腺瘤时有用的一个独特特征。
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Basal cell (monomorphic) and minimally pleomorphic adenomas of the salivary glands. Distinction from the solid (anaplastic) type of adenoid cystic carcinoma in fine-needle aspiration.唾液腺基底细胞(单形性)和微多形性腺瘤。细针穿刺活检中与实体(间变性)型腺样囊性癌的鉴别。
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引用本文的文献

1
Glial Fibrillary Acidic Protein Expression Helps Distinguish Pleomorphic Adenoma from Histologic Mimics.胶质纤维酸性蛋白表达有助于鉴别多形性腺瘤与组织学类似物。
Head Neck Pathol. 2022 Sep;16(3):695-702. doi: 10.1007/s12105-021-01409-2. Epub 2022 Jan 22.