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小细胞肺癌的免疫组织化学检测及其意义

IMMUNOHISTOCHEMICAL OBSERVATIONS ON SMALL CELL CARCINOMA OF THE LUNG

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【作者】 张月娥; 许祖德; 陈忠年; 吴学如; 张秀荣; 应越英;

【Author】 Zhang Yue’e, Xu Zude, Chen Zhongnian, Wu Xueru, Zhang Xionrong, Ying Yueying(Department of Pathology, Faculty of Basic Medical Sciences, Shanghai Medical University, Shanghai)

【机构】 上海医科大学基础医学部病理学教研室; 上海医科大学基础医学部病理学教研室;

【摘要】 对72例小细胞肺癌(SCC)及38例其他肺癌的石蜡材料,应用PAP法观察癌细胞对神经元特异性烯醇酶、S-100蛋白、促肾上腺皮质激素、降钙素、角蛋白及癌胚抗原的表达结果,提示SCC的组织发生和其他肺癌相同,也起源于支气管粘膜干细胞,文章并讨论了上述各种抗原检测在SCC诊断和鉴别诊断中的应用价值。

【Abstract】 Immunohistochemical differential detection of cancer cells in 72 cases of small cell carcinomas (SCC) and 38 oases of other types of lung carcinomas were studied. A peroxidase-anti-perosidase method was used with a series of antibodies against neuron-specific enolase, 8-100, ACTH, caloitonin, keratin, and oaroinoembryonio antigen. It was found that positive reactions of neuron-specific enolase in oellfl of various tumors were SCC 56/72, large cell carcinomas 3/4, oaroinoids 3/5, adenooar-oinomas 2/12 and squamous cell carcinomas 2/17. Eesults also showed that only oases of 800(8.3%) were stained by anti-keratin antibodies, 66.7% in adenooaro-inomas and 94.1% in squamous cell carcinomas were possitive respectively. The histologio origin of SCC and the signifioance of various antigens in the diagnosis of SCC were discussed.

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