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目的:研究子宫颈神经内分泌癌的组织学特性和诊断要点。方法:收集子宫颈神经内分泌癌5例,应用免疫组织化学等方法对其组织学特点进行观察。结果:肿瘤由小细胞组成,形态一致,可弥漫成片或排列呈器官样结构,有一些病例可合并鳞癌或腺癌;免疫组化结果发现,5例突触素和NSE均阳性,4例嗜铬素A阳性,1例嗜铬素A阴性;证实了这一肿瘤的神经内分泌化特征。结论:对宫颈神经内分泌癌的诊断,应采用免疫组化等方法,观察其组织学特点,并与非霍奇金淋巴瘤、胚胎性横纹肌肉瘤、间质肉瘤等鉴别。
Objective: To study the histological characteristics and diagnosis of cervical neuroendocrine carcinoma. Methods: Cervical neuroendocrine carcinoma was collected in 5 cases. Immunohistochemistry and other methods were used to observe the histological features. Results: The tumor consisted of small cells with the same morphology and could diffuse into a piece or arranged in an organ-like structure. Some cases could be associated with squamous cell carcinoma or adenocarcinoma. The immunohistochemistry results showed that all the 5 cases were positive for synaptophysin and NSE, 4 Cases of chromogranin A positive, 1 cases of chromogranin A negative; confirmed the neuroendocrine characteristics of this tumor. Conclusion: The diagnosis of cervical neuroendocrine carcinoma should be used immunohistochemistry and other methods to observe the histological features, and non-Hodgkin’s lymphoma, embryonal rhabdomyosarcoma, interstitial sarcoma and other identification.