Mlynek M L, Richter H J, Leder L D
Cancer. 1985 Dec 1;56(11):2647-50. doi: 10.1002/1097-0142(19851201)56:11<2647::aid-cncr2820561119>3.0.co;2-8.
One hundred forty-two cases of thyroid carcinomas were studied to assess the frequency with which mucinous deposits occur within the neoplastic cells. In contrast to the literature, which contains only a few scattered reports on this topic, the production of mucin by carcinomas of the thyroid was relatively frequently observed in our material. Almost one half of the cases displayed mucinous substances, which occurred in about 50% of the papillary and the medullary carcinomas, 35% of the follicular types, and about 21% of the anaplastic varieties. The amount of mucinous substances varied considerably: 28 cases were weakly positive, 30 cases were moderately positive, and 6 cases were strongly positive. These findings are discussed with respect to diagnostic and differential diagnostic problems, especially with respect to the interpretation of mucinous deposits that occur in metastatic carcinomata.
对142例甲状腺癌进行了研究,以评估肿瘤细胞内黏液沉积出现的频率。与仅包含关于该主题的少数零散报告的文献不同,在我们的材料中相对频繁地观察到甲状腺癌产生黏液。几乎一半的病例显示有黏液物质,其出现在约50%的乳头状癌和髓样癌、35%的滤泡型癌以及约21%的间变性癌中。黏液物质的量差异很大:28例弱阳性,30例中度阳性,6例强阳性。针对诊断和鉴别诊断问题,特别是关于转移性癌中出现的黏液沉积的解释,对这些发现进行了讨论。