Cesk Patol. 2021 Spring;57(1):19-29.
Recent years have brought an immense increase of knowledge regarding the molecular genetic background of mesenchymal tumors which in turn has significantly expanded the repertoire of molecular markers available for the routine diagnostic practice. This progress has also been followed by a rising number of available immunohistochemical markers useful for the diagnosis of soft tissue neoplasia. Both lineage specific and tumor-specific immunohistochemical antibodies have been discovered and subsequently tested in the surgical pathology practice. This article will review some of the immunohistochemical and molecular genetic markers useful in the diagnosis of vascular tumors, malignant peripheral nerve sheath tumors, low-grade fibromyxoid sarcomas/sclerosing epithelioid fibrosarcomas, solitary fibrous tumors, epithelioid sarcomas, rhabdomyosarcomas and other lesions showing skeletal muscle differentiation. The immunohistochemical and molecular genetic features of some recently characterized and clinically particularly important entities will be discussed as well.
近年来,关于间叶性肿瘤分子遗传背景的知识有了巨大的增长,这反过来又大大扩展了常规诊断实践中可用的分子标志物的范围。随着可供软组织肿瘤诊断使用的免疫组织化学标志物数量的增加,这一进展也随之而来。已经发现了谱系特异性和肿瘤特异性的免疫组织化学抗体,并随后在外科病理学实践中进行了测试。本文将回顾一些在诊断血管肿瘤、恶性外周神经鞘肿瘤、低级纤维黏液样肉瘤/硬化性上皮样纤维肉瘤、孤立性纤维瘤、上皮样肉瘤、横纹肌肉瘤和其他具有骨骼肌分化的病变中有用的免疫组织化学和分子遗传标志物。还将讨论一些最近描述的和临床上特别重要的实体的免疫组织化学和分子遗传特征。