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[具有神经周细胞免疫表型的周围神经鞘恶性肿瘤(神经周肉瘤?)]

[Malignant neoplasms of the peripheral nerve sheaths with cellular immunophenotype of perineural cells (perineural sarcoma?)].

作者信息

Smirtnov A V, Sokolova I N

出版信息

Arkh Patol. 1995 Sep-Oct;57(5):14-20.

PMID:8579488
Abstract

2 cases of soft tissue malignant tumors formally related to the group of spindle cell sarcoma are described. The majority of cells expressed an epithelial membranous antigen and vimentin but were S-100 protein unreactive, i.e. had a phenotype characteristic of perineural cells. Monoclonal antibodies to 5 types of filaments protein of intermediate type, neurone specific enolase and collagen type I, II, III, IV, V were also used as well as electron microscopic investigation. Problems of differential diagnosis from schwannomas, fibrosarcomas, monophasic spindle cell "synovial sarcoma" and validity of integrating these tumors into an independent variety of malignant peripheral nerve sheath tumors are discussed.

摘要

本文描述了2例与梭形细胞肉瘤组正式相关的软组织恶性肿瘤。大多数细胞表达上皮膜抗原和波形蛋白,但对S-100蛋白无反应,即具有神经周细胞的表型特征。还使用了针对5种中间丝蛋白、神经元特异性烯醇化酶以及I、II、III、IV、V型胶原的单克隆抗体,并进行了电子显微镜检查。讨论了与神经鞘瘤、纤维肉瘤、单相梭形细胞“滑膜肉瘤”的鉴别诊断问题,以及将这些肿瘤纳入独立的恶性周围神经鞘瘤种类的有效性。

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