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[表达突触素的胃血管球瘤:临床病理及免疫组化分析]

[Gastric glomus tumors expressing synaptophysin: clinicopathologic and immunohistochemical analyses].

作者信息

Wang J C, Jin X F, Weng S X, Xu C, Gan M F

机构信息

Department of Pathology, Taizhou Hospital, Wenzhou Medical University, Taizhou 317000, China.

出版信息

Zhonghua Bing Li Xue Za Zhi. 2017 Nov 8;46(11):756-759. doi: 10.3760/cma.j.issn.0529-5807.2017.11.004.

Abstract

To investigate the clincopathologic and immunohistochemical features of gastric glomus tumors and their differences from gastric neuroendocrine neoplasms. Six cases of gastric glomus tumors, 8 cases of glomus tumors in other sites and 7 cases of gastric neuroendocrine neoplasms were collected from the Department of Pathology, Taizhou Hospital. The clinicopathological and immunohistochemical characteristics of these tumors were analyzed retrospectively. The gastric glomus tumors were located in the muscularis propria of the antrum and most cases strongly expressed synaptophysin (5/6). However, no synaptophysin expression was seen in glomus tumors of other organs.Most gastric neuroendocrine neoplasms were located in the mucosa or submucosa of the fundus and corpus. In addition to the strong expression of synaptophysin (7/7), CgA (6/7) and CD56(5/7) were strongly positive, although SMA was negative. Gastric glomus tumors and neuroendocrine neoplasms have similar morphological characteristics and both show strongly expression of synaptophysin. However, the location and immunohistochemical characteristics of gastric glomus tumors differ from those of the neuroendocrine neoplasms.

摘要

探讨胃血管球瘤的临床病理及免疫组化特征及其与胃神经内分泌肿瘤的差异。从台州医院病理科收集6例胃血管球瘤、8例其他部位血管球瘤及7例胃神经内分泌肿瘤。对这些肿瘤的临床病理及免疫组化特征进行回顾性分析。胃血管球瘤位于胃窦固有肌层,多数病例突触素呈强阳性(5/6)。然而,其他器官的血管球瘤未见突触素表达。多数胃神经内分泌肿瘤位于胃底和胃体的黏膜或黏膜下层。除突触素呈强阳性(7/7)外,嗜铬粒蛋白A(6/7)和CD56(5/7)也呈强阳性,而平滑肌肌动蛋白呈阴性。胃血管球瘤与神经内分泌肿瘤具有相似的形态学特征,且均显示突触素强表达。然而,胃血管球瘤的位置及免疫组化特征与神经内分泌肿瘤不同。

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