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58例垂体腺瘤的病理生物学研究

Palhobiological study of 58 pituitary adenomas

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【作者】 李玉林杨相林于洪藻朱桂彬邱铁东富长春

【Author】 Li Yulin, Yang Xianglin(Department of Pathology)

【机构】 白求恩医科大学基础医学院病理解剖教研室白求恩医科大学第一临床医学院病理科

【摘要】 本文应用S100蛋白和6种垂体激素抗血清,通过免疫组织化学方法研究了58例垂体腺瘤的生物学类型。结果表明:功能性垂体腺瘤34. 5%,无功能性垂体腺瘤65. 5%。功能性垂体腺瘤以GH阳性者居多,同时产生两种激素的腺瘤也较常见,其组合方式两例为GH~+PRL,一例为GH+TSH。无功能性垂体腺瘤有两种类型,一类S100和6种激素均阴性,另一类为S100蛋白阳性,前者我们称为无特殊标记之无功能垂体腺瘤,后者称为滤泡星状细胞腺瘤。本文还讨论了滤泡星状细胞,在垂体腺瘤中的存在及意义。

【Abstract】 PathoMological study of 58 pituitary adenomas was performed with PAP immunohistochemical method on paraffin-embedded materials, using 6 pituitary hormones and S 100 protein antisera.The results showed that endocrine-active pituitary adenomas accounted for 34.5% and endocrine-inactive adenomas 65.5%.Among the former, incidence of GH-producing adenoma was the highest (15.5% ). Endocrine-active tumors secreting more than one hormone were also found. GH and PRL in 2 cases and GH and TSH in 1 case.There were also 2 types of endocrine-inactive adenomas, the folliculo-stellate cell adenoma, which was positive to S 100 protein antisera and the non-marked pituitary adenoma, which was negative to all these 6 pituitary hormones and S 100 protein antisera.The presence and significance of the folliculo-stallate cells in the adenoma was also discussed.

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