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子宫性索样肿瘤临床病理分析 被引量:1
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作者 欧阳俊 彭久君 +2 位作者 邢宝玲 葛素梅 刘梦璐 《中国妇幼健康研究》 2014年第5期912-914,共3页
目的探讨罕见子宫性索样肿瘤的病理特征、诊断及鉴别诊断。方法对2例子宫性索样肿瘤的临床资料、病理形态学和免疫组化染色进行观察。采用免疫组织化学En Vision法检测肿瘤细胞中Calratinin、CD99、CAM5.2、Vimetin、P16、P53、α-inhi... 目的探讨罕见子宫性索样肿瘤的病理特征、诊断及鉴别诊断。方法对2例子宫性索样肿瘤的临床资料、病理形态学和免疫组化染色进行观察。采用免疫组织化学En Vision法检测肿瘤细胞中Calratinin、CD99、CAM5.2、Vimetin、P16、P53、α-inhibin、Ckpan、Melan、ER、PR、CD10、Ki-67的表达情况,并复习相关文献。结果两例均为绝经后女性,临床主要症状是阴道不规则出血。镜下见肿瘤细胞较小,呈圆形或卵圆形,大小一致,可见核仁,无核沟,核分裂像少见,胞质丰富,嗜伊红,呈上皮样分化,类似卵巢颗粒细胞或支持细胞,肿瘤细胞排列方式多样化,呈相互吻合的小梁状结构,排列整齐的小管、腺样结构,甚至乳头状、血管瘤样结构,少见实性细胞团,呈推挤式浸润性生长,缺失call-exner小体结构。结论子宫性索样肿瘤是非常少见的肿瘤,具有恶性潜能或复发的可能,病理诊断时应与伴有性索样结构的子宫平滑肌肿瘤、低分化腺癌、上皮样平滑肌瘤等肿瘤鉴别。 展开更多
关键词 子宫肿瘤 子宫性索样肿瘤 免疫组化 诊断 鉴别诊断
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Clinicopathological and Molecular Characterization of Uterine Tumors Resembling Ovarian Sex Cord Tumors:An Eight-Case Series with Novel Fusion Gene Insights and Literature Review
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作者 Shu-hao Yang Dong Kuang +1 位作者 Ya Li Shu-hong Yang 《Current Medical Science》 2025年第5期1209-1220,共12页
Uterine tumors resembling ovarian sex cord tumors(UTROSCTs)are characterized by an uncertain malignant potential and exhibit prominent sex cord-like differentiation.The purpose of this study was to comprehensively rev... Uterine tumors resembling ovarian sex cord tumors(UTROSCTs)are characterized by an uncertain malignant potential and exhibit prominent sex cord-like differentiation.The purpose of this study was to comprehensively review the clinicopathological characteristics of UTROSCTs and analyze eight cases of UTROSCTs treated at our hospital.We conducted an extensive review of the relevant literature and gathered pertinent data.In addition,we identified eight patients with UTROSCTs and analyzed their clinical and pathological features,diagnosis,treatment,and prognosis.Patients presented with symptoms such as abnormal vaginal bleeding or uterine mass detection.Surgical interventions varied,including total abdominal hysterectomy,bilateral salpingo-oophorectomy,and pelvic lymphadenectomy,with adjuvant therapy given to one patient.All eight patients are currently disease-free,with the longest follow-up period being nearly 10 years.Our systematic review of UTROSCTs summarized the clinical and pathological features and revealed several novel markers,including ESR1-NCOA2-3,GREB1-NCOA1-3,GREB1-CTNNB1,and GREB1-NR4A3.UTROSCTs are rare mesenchymal tumors with unclear histogenesis and uncertain malignant potential.Although our understanding of UTROSCTs remains incomplete,the promising findings and increasing availability of clinical data will contribute to the further understanding and development of this rare neoplasm. 展开更多
关键词 Uterine tumors resembling ovarian sex cord tumors utrosct Fusion genes GREB1 rearrangement ESR1 rearrangement Biomarkers Clinicopathology Prognosis Fertility-sparing surgery Molecular diagnostics
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