Zhou Q, Shi F, Zhao H Y, Li Y, Song Q K
Department of Pathology, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China.
Zhonghua Bing Li Xue Za Zhi. 2018 Mar 8;47(3):192-195. doi: 10.3760/cma.j.issn.0529-5807.2018.03.009.
To analyze the relationship between clinicopathologic characteristics of pseudomyxoma peritonei (PMP) and its prognosis. Fifty-two cases of PMP collected from 2012 to 2017 at Beijing Shijitan Hospital, Capital Medical University were reviewed using the diagnostic criteria of WHO 2010. The histopathologic features, including original location, neural invasion and calcification were observed; and the relationship with prognosis was analyzed. Immunohistochemical staining for CK7, CK20 and CDX2 was performed on all cases. ER, PR, and p16 were additionally performed on those without clear origin. Patients' mean age was 52.0 years, and included 29 males and 23 females. Thirty-two cases were derived from appendix; among them, 23 were low grade and 29 were high grade. Signet ring-cells, neural invasion and calcification were detected in 15, 12 and 9 cases respectively. Neural invasion was associated with adverse prognosis (=0.025) and signet ring cell morphology (<0.01). Prognosis was not related to gender, age, original location or grade. Neural invasion is not uncommon in PMP and predicts a bad prognosis.
分析腹膜假黏液瘤(PMP)的临床病理特征与其预后之间的关系。回顾首都医科大学附属北京世纪坛医院2012年至2017年收集的52例PMP病例,采用世界卫生组织2010年的诊断标准。观察其组织病理学特征,包括原发部位、神经侵犯和钙化情况,并分析其与预后的关系。对所有病例进行细胞角蛋白7(CK7)、细胞角蛋白20(CK20)和尾型同源盒转录因子2(CDX2)的免疫组织化学染色。对来源不明的病例额外检测雌激素受体(ER)、孕激素受体(PR)和抑癌基因p16。患者平均年龄52.0岁,其中男性29例、女性23例。32例起源于阑尾,其中低级别23例,高级别29例。分别在15例、12例和9例中检测到印戒细胞、神经侵犯和钙化。神经侵犯与不良预后相关(P=0.025),与印戒细胞形态有关(P<0.01)。预后与性别、年龄、原发部位或级别无关。神经侵犯在PMP中并不少见,且提示预后不良。