徐东波, 孙保存, 惠京, 赵秀兰, 刘岩雪, 林建韶. 孤立性纤维性肿瘤和血管外皮瘤临床病理观察[J]. 中国肿瘤临床, 2006, 33(11): 644-647.
引用本文: 徐东波, 孙保存, 惠京, 赵秀兰, 刘岩雪, 林建韶. 孤立性纤维性肿瘤和血管外皮瘤临床病理观察[J]. 中国肿瘤临床, 2006, 33(11): 644-647.
Xu Dongbo, Sun Baocun, Hui Jing, Zhao Xiulan, Liu Yanxue, Du Jianshao. Clinicopathologic Observation of Solitary Fibrous Tumor and Hemangiopericytoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2006, 33(11): 644-647.
Citation: Xu Dongbo, Sun Baocun, Hui Jing, Zhao Xiulan, Liu Yanxue, Du Jianshao. Clinicopathologic Observation of Solitary Fibrous Tumor and Hemangiopericytoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2006, 33(11): 644-647.

孤立性纤维性肿瘤和血管外皮瘤临床病理观察

Clinicopathologic Observation of Solitary Fibrous Tumor and Hemangiopericytoma

  • 摘要: 目的 :通过观察孤立性纤维性肿瘤(SFT)和血管外皮瘤(HPC)的组织形态学特征和免疫组织化学表型,探讨二者之间的本质和相互联系。 方法 :对12例SFT和6例HPC进行临床病理分析、形态学观察和免疫组织化学染色的检测。 结果 :光镜下SFT具有大量疏密相间的梭形细胞、灶性血管外皮瘤样区域,并见较多胶原沉积及血管壁的透明变性。HPC肿瘤细胞单一,可见大量不规则分枝血管,呈鹿角状。12例SFT中,CD34和Bcl-2呈弥漫性强阳性(均为100%),CD99阳性率为75.00%。6例HPC中,CD99和Bcl-2为66.67%,CD34仅为16.77%。 结论 :两种肿瘤同属纤维母细胞/肌纤维母细胞肿瘤家族,在形态改变和免疫表型上有所重叠,但仍具有各自的病理形态特点,因此可分别视为独立的肿瘤类型。

     

    Abstract: Objective :To explore the nature and relationship between solitary fibrous tumor (SFT)and hemangiopericytoma (HPC) by morphologic and immunohistochemical observation. Methods :Twelve cases of SFT and 6 cases of HPC were analyzed by clinicopathologic study and immunohisto-chemical staining of CD34, CD99 and Bcl-2. Results :Histologically, SFT was composed of numerousspindle cells with variable cellularity, local hemangiopericytoma- like areas,scattered dense collage-nization and perivascular hyalinization. HPC showed a monomorphic population with a branching "staghorn" vascular pattern. SFT exhibited diffuse positive for CD34 (100%), Bcl-2 (100%), and CD99(75.00%).HPC was positive for CD99 and Bcl-2 (both 66.67%), but only 16.67% for CD34. Conclu-Sion :Both SFT and HPC belong to the fibroblastic and myofibroblastic neoplasm category with histo-logic and immunohistochemical overlap, but the morphologic differences allow us to infer the 2 lesionsconstitute distinct entities.

     

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