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神经元特异性烯醇化酶检测在胰腺实性囊性(乳头状囊性)肿瘤诊断中的应用

Neuron specific enolase demonstration in the diagnosis of a solid-cystic (papillary cystic) tumour of the pancreas.

作者信息

Chott A, Klöppel G, Buxbaum P, Heitz P U

出版信息

Virchows Arch A Pathol Anat Histopathol. 1987;410(5):397-402. doi: 10.1007/BF00712759.

DOI:10.1007/BF00712759
PMID:3103322
Abstract

Immunoreactivity to neuron specific enolase (NSE) was demonstrated in a solid-cystic (papillary cystic) tumour of the human pancreas, employing immunohistochemical methods. Positive staining for NSE was found with two different antisera. In addition, sodium-dodecyl-sulphate-polyacrylamide-gel-electro-phoresis (SDS-PAGE) of tumour homogenate revealed a distinct band reacting with a NSE antiserum. However, we failed to detect any hormonal products or neuroendocrine granules in the tumour. Therefore the authors advise caution in using the enzyme as a differential diagnostic tool, especially in surgical pathology of epithelial pancreatic neoplasms occurring in young females. In individual cases electron microscopy will be necessary since solid-cystic tumours of the pancreas consistently show large intracytoplasmic zymogen-like granules.

摘要

采用免疫组化方法,在一例人胰腺实性囊性(乳头状囊性)肿瘤中证实了对神经元特异性烯醇化酶(NSE)的免疫反应性。用两种不同的抗血清发现了NSE的阳性染色。此外,肿瘤匀浆的十二烷基硫酸钠-聚丙烯酰胺凝胶电泳(SDS-PAGE)显示有一条与NSE抗血清反应的明显条带。然而,我们未能在肿瘤中检测到任何激素产物或神经内分泌颗粒。因此,作者建议在将该酶用作鉴别诊断工具时要谨慎,尤其是在年轻女性发生的胰腺上皮性肿瘤的外科病理学中。在个别情况下,电子显微镜检查将是必要的,因为胰腺实性囊性肿瘤始终显示出大量胞浆内的类酶原颗粒。

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本文引用的文献

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Solid and papillary neoplasm of the pancreas. A potentially curable surgical lesion.胰腺实性假乳头状肿瘤。一种潜在可治愈的外科病变。
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