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[人脑膜瘤和神经鞘瘤的细胞动力学——Ki-67 PAP染色]

[Cell kinetics of human meningiomas and neurinomas--Ki-67 PAP stain].

作者信息

Shibata T, Burger P C, Kleihues P

机构信息

Abteilung Neuropathologie, Universitäts Spital Zürich, Schweiz.

出版信息

No Shinkei Geka. 1988 Jul;16(8):939-44.

PMID:3050583
Abstract

Seventeen surgically resected meningiomas and six neurinomas including one neurofibroma were labelled with frozen sections using a monoclonal antibody Ki-67, which reacts with a nuclear antigen expressed by proliferating cells. In thirteen classic non-malignant meningiomas, the percentage of stained cells ranged from 0.2 to 3.2% (mean, 1.4%). Those of three recurrencies consisted of anaplastic one and another one with anaplastic component, and one hemangiopericytic type ranged from 2.9 to 8.7% (mean, 4.8%). Four classic non-malignant neurinomas and one neurofibroma had the range from 0.3 to 2.7% (mean, 1.3%). However, one anaplastic neurinoma showed the largest fraction (13.0%) of positive nuclei in all these tumors. These results show, in conclusion, that the determination of Ki-67 immunoreactivity in the cell nuclei of meningiomas and neurinomas can contribute to more objectiveness in histological grading and the higher positive rate could be one of various factors relating to recurrence.

摘要

使用单克隆抗体Ki-67对17例手术切除的脑膜瘤和6例神经鞘瘤(包括1例神经纤维瘤)进行冰冻切片标记,该抗体与增殖细胞表达的核抗原发生反应。在13例典型的非恶性脑膜瘤中,染色细胞的百分比范围为0.2%至3.2%(平均为1.4%)。3例复发性脑膜瘤包括1例间变性脑膜瘤、1例伴有间变性成分的脑膜瘤和1例血管外皮细胞瘤型脑膜瘤,其染色细胞百分比范围为2.9%至8.7%(平均为4.8%)。4例典型的非恶性神经鞘瘤和1例神经纤维瘤的染色细胞百分比范围为0.3%至2.7%(平均为1.3%)。然而,在所有这些肿瘤中,1例间变性神经鞘瘤显示出最大比例(13.0%)的阳性细胞核。总之,这些结果表明,测定脑膜瘤和神经鞘瘤细胞核中的Ki-67免疫反应性有助于使组织学分级更客观,较高的阳性率可能是与复发相关的多种因素之一。

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