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肺癌的免疫组织化学研究

Immunohistochemical Study on Pulmonary Carcinoma
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摘要 应用免疫组化ABC法对77例肺癌的石蜡切片进行KT、CEA、NSE检测。结果:肺鳞癌KT阳性率为71.7%,多为中,强阳性,仅1例腺癌呈KT弱阳性,鳞癌和腺癌的KT阳性率有极显著性差异(P<0.01);腺癌CEA阳性率为92.9%,多为中、强阳性,鳞癌CEA阳性率为45.7%,绝大多数为局灶性弱阳性,二者间的CEA阳性率有极显著性差异(P<0.01);NSE阳性仅见于小细胞肺癌。提示:KT或CEA中、强阳性有助于鉴别鳞癌和腺癌;NSE阳性有助于识别小细胞肺癌。 The determination of KT,CEA,NSE was performed on paraffin sections from 77 pulmonary carcinomas with ABC immunohistochemical staining. KT was positive expression in 71.7% of squamous cell carcinomas (SQCC). Degree of staining of KT was middle or strong in the SQCC,and weak staining for KT was present at the only one case of adenocarcinoma(ADC). There was a significant difference in the percentage of KT between SQCC and ADC(P<0. 01). CEA was positive expression in 92. 9% of ADC,in 45. 7% of SQCC,and there was a significant difference (P<0.01). CEA showed moderate or intense staining in most cases of ADC,but weak,focal staining in SQCC. The expression for NSE was observed only in small cell lung carcinomas (SCLC). It is suggested that moderate or strong staining for KT or CEA help to distinguish SQCC from ADC;and the positive expression of NSE be one of the characteristics of SCLC.
作者 张煦 赵俊生
出处 《兰州医学院学报》 1996年第3期12-14,共3页 Journal of Lanzhou Medical College
关键词 肺肿瘤 免疫组织化学 诊断 鉴别 Lung neoplasms Immunohistochemistry Diagnosis differential
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参考文献2

  • 1邱向南,喻兵.肿瘤标志对肺癌分型及分化程度意义的研究[J]天津医药,1988(04).
  • 2张汝逢,张昌卿,李锦添,冯凯涛,黄宝珍,罗天锡,黄小延,吴海华.人体肺癌中的角蛋白27例肺癌的角蛋白免疫组化及电镜观察[J]癌症,1987(03).

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