Brocheriou C, D'Agay M F, De Roquancourt A, Verola O
Service d'Anatomie Pathologique, Höpital Saint-Louis, Paris.
Rev Stomatol Chir Maxillofac. 1988;89(2):65-74.
Salivary gland tumors, despite the large number of studies which have been devoted to them, still pose many questions. Certain types are very difficult to classify, whilst in others the prognosis is uncertain and impossible to precisely identify. The problem of the histogenesis remains for many of them. This immunohistochemical study involving the principal types of salivary gland tumors used specimens previously fixed and mounted in paraffin wax. In certain cases immunohistochemistry is useful diagnostically thus making it possible to identify a myoepithelioma, and to draw the distinction between certain pleomorphic adenomas with an appearance likely to be a source of error and an adenocystic carcinoma. These methods are also useful in identifying the histogenesis of many salivary gland tumors, making it possible according to the individual case to demonstrate one or other variety of intermediate filaments, of functional markers, tumor markers or miscellaneous substances. In addition the histochemical study of cryostat sections of fresh tissue can be used in the case of lympho-epithelial tumors to define the precise nature of the lymphoid component, often a better approach to their histogenesis.
尽管针对唾液腺肿瘤已有大量研究,但它们仍存在许多问题。某些类型的肿瘤很难分类,而其他类型的预后则不确定,也无法精确识别。许多唾液腺肿瘤的组织发生问题依然存在。这项免疫组化研究涵盖了唾液腺肿瘤的主要类型,使用的是先前用石蜡固定和包埋的标本。在某些情况下,免疫组化在诊断上很有用,从而能够识别肌上皮瘤,并区分某些外观可能会导致误诊的多形性腺瘤和腺泡细胞癌。这些方法在确定许多唾液腺肿瘤的组织发生方面也很有用,根据具体病例,可以显示一种或另一种中间丝、功能标记物、肿瘤标记物或其他物质。此外,对于淋巴上皮瘤,新鲜组织冰冻切片的组织化学研究可用于确定淋巴样成分的确切性质,这通常是了解其组织发生的更好方法。