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乳腺病理学中诊断免疫组织化学的质量问题。

Quality Issues in Diagnostic Immunohistochemistry in Breast Pathology.

机构信息

Robert J Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio, USA.

Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.

出版信息

Pathobiology. 2022;89(5):324-333. doi: 10.1159/000522538. Epub 2022 Apr 20.

Abstract

Immunohistochemistry techniques have been incorporated into surgical pathology for nearly a half-century and have since become intimately intertwined with its practice. In the realm of breast pathology, immunohistochemistry serves several purposes, including providing crucial prognostic and predictive data. Among its other applications, assessment of stromal invasion and establishment of mammary origin are crucial from a diagnostic standpoint. In these regards, sole reliance on immunohistochemistry may lead to misdiagnosis. In this review, we highlight pitfalls of immunohistochemistry commonly encountered in the practice of breast pathology and emphasize the importance of careful histopathological evaluation.

摘要

免疫组织化学技术在外科病理学中已经应用了近半个世纪,并且已经与其实践紧密结合。在乳腺病理学领域,免疫组织化学具有多种用途,包括提供重要的预后和预测数据。在其他应用中,从诊断的角度来看,评估间质浸润和建立乳腺起源至关重要。在这些方面,仅仅依赖免疫组织化学可能会导致误诊。在这篇综述中,我们强调了在乳腺病理学实践中经常遇到的免疫组织化学陷阱,并强调了仔细的组织病理学评估的重要性。

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