免疫组织化学在区分浸润性浆细胞样尿路上皮癌及其组织模拟癌中的作用

McKenney Jk, Sangoi Ar, G. N
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引用次数: 0

摘要

浆细胞样尿路上皮癌是一种罕见的侵袭性膀胱癌,其特征是浸润的肿瘤细胞与浆细胞非常相似。它可能类似浆细胞瘤、淋巴瘤和癌,如乳腺小叶癌和继发累及膀胱的胃肠道低分化癌。关于这些形态相似肿瘤的比较免疫表型的数据有限。检索1998 - 2010年3所医院的浆细胞样尿路上皮癌、小叶型乳腺癌和弥漫性或印戒型胃肠道癌的手术病理及会诊资料。复习31例H&E玻片以确诊。免疫组化检测包括E-Cadherin、P63、P53、CD138、MUM-1、雌激素受体(ER)、孕激素受体(PR)、GCDFP-15、ca125、细胞角蛋白7 (ck7)、细胞角蛋白抗体
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The Role of Immunohistochemistry in the Distinction of Invasive Plasmacytoid Urothelial Carcinoma from its Histologic Mimics
Plasmacytoid urothelial carcinoma is a rare and aggressive variant of bladder cancer that is characterized by infiltrating neoplastic cells that closely resemble plasma cells. It may mimic plasmacytoma, lymphoma, and carcinomas such as lobular carcinoma of breast and poorly differentiated carcinomas of gastrointestinal tract secondarily involving the bladder. There is limited data regarding the comparative immunophenotypes of these morphologically similar tumors. The surgical pathology and consultation files at three institutions were searched for plasmacytoid urothelial carcinoma, lobular breast carcinoma and diffuse or signet ring type gastrointestinal carcinoma from 1998 to 2010. H&E slides of 31 cases were reviewed to confirm diagnoses. A focused immunohistochemical panel including antibodies against E-Cadherin, P63, P53, CD138, MUM-1, estrogen receptor (ER), progesterone receptor (PR), GCDFP-15, CA 125, cytokeratin 7 (CK 7), cytokeratin
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