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非小细胞肺癌的组织病理学评估

Histopathological Assessment of Non-Small Cell Lung Carcinomas.

作者信息

Grecu Daniela Florentina, Zorilă Marian Valentin, Stanca Liliana, Grecu Alexandru Florian, Crețu Oana Iulia, Badiu Marie, Andreiana Bianca Cătălina, Florescu Mirela Marinela, Stepan Alex Emilian

机构信息

PhD Student, Department of Pathology, University of Medicine and Pharmacy of Craiova, Romania.

Department of Forensic Medicine, University of Medicine and Pharmacy of Craiova, Romania.

出版信息

Curr Health Sci J. 2025 Jan-Mar;51(1):105-111. doi: 10.12865/CHSJ.51.01.11. Epub 2025 Mar 31.

Abstract

Non-small cell lung carcinomas (NSCLC) are common lung tumors with numerous growth patterns associated with lesion types, which are frequently diagnosed late and are associated with a reserved prognosis. In this study, we analyzed histopathologically and statistically 52 cases of NSCLC, for which the growth types/patterns were described and compared with tumor grade, the presence of vessels invasion and stage of tumor. We observed the predominance of adenocarcinomas (ADK) and acinar, cribriform, solid and papillary growth patterns, frequent mixed transitional areas, while for squamous cell carcinomas (SCC) the non-keratinized aspect was dominant. Vascular invasion was identified in 38.5% of cases, most NSCLC being in advanced stages, respectively 57.7%. ADK with cribriform, solid, and micropapillary patterns, as well as nonkeratinized SCC (NKSCC) and large cell carcinoma (LCC) were significantly associated with high grade, vessels invasion, and advanced stage of tumos. Transitional areas of ADK and focal keratinizations in SCC suggest the presence of specific lung tumor histological lesions, which in evolution acquire aggressive patterns.

摘要

非小细胞肺癌(NSCLC)是常见的肺部肿瘤,具有多种与病变类型相关的生长模式,常被诊断较晚且预后较差。在本研究中,我们对52例NSCLC进行了组织病理学和统计学分析,描述了其生长类型/模式,并与肿瘤分级、血管侵犯情况和肿瘤分期进行了比较。我们观察到腺癌(ADK)以及腺泡状、筛状、实性和乳头状生长模式占优势,常有混合过渡区域,而鳞状细胞癌(SCC)以非角化形态为主。38.5%的病例发现有血管侵犯,大多数NSCLC处于晚期,分别为57.7%。具有筛状、实性和微乳头状模式的ADK,以及非角化SCC(NKSCC)和大细胞癌(LCC)与高级别、血管侵犯和肿瘤晚期显著相关。ADK的过渡区域和SCC中的局灶性角化提示存在特定的肺肿瘤组织学病变,这些病变在发展过程中会呈现侵袭性模式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7532/12264988/4c4cd2ff678e/CHSJ-51-01-105-fig1.jpg

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