Korshunov A G, Sycheva R V
Arkh Patol. 1995 Jul-Aug;57(4):30-8.
Expression of the glial fibrillary acidic protein (GFAP) and S-100 protein was examined in 76 astrocytic gliomas (AG) with different degree of malignancy, which were subdivided into 4 groups: pilocytic astrocytoma, mixed astrocytoma, anaplastic astrocytoma and glioblastoma. Combined light-microscopical and immunohistochemical investigation detected several variants among different kinds of malignant AG that were distinguished by cytological composition and immunomorphology. Gemistocytic and polymorphic nuclear types were distinguished among anaplastic astrocytoma. Glioblastomas were subdivided into multiforme, isomorphic and gemistocytic variants. It was established that fractions of GFAP-negative cells occur in benign and malignant AG. Thus, the presence of population of immunonegative cells in AG is not a sign of high-grade tumor anaplasia. Groups of GFAP-positive cells around tumor vessels were found in malignant AG only.
在76例不同恶性程度的星形胶质细胞瘤(AG)中检测了胶质纤维酸性蛋白(GFAP)和S-100蛋白的表达,这些肿瘤被分为4组:毛细胞型星形细胞瘤、混合性星形细胞瘤、间变性星形细胞瘤和胶质母细胞瘤。联合光镜和免疫组化研究在不同类型的恶性AG中检测到几种变异型,它们通过细胞学组成和免疫形态学加以区分。在间变性星形细胞瘤中区分出肥胖型和多核型。胶质母细胞瘤被分为多形性、同形性和肥胖型变异型。已证实GFAP阴性细胞群存在于良性和恶性AG中。因此,AG中免疫阴性细胞群的存在并非高级别肿瘤间变的标志。仅在恶性AG中发现肿瘤血管周围有GFAP阳性细胞群。