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应用免疫组化ABC及LSAB法,对27例胰岛肿瘤和3例胰岛增生进行Ins,Gas,Glu,Som,Ser,VIP,PP,NSE,CHG,SYP,hCG,EMA,K及CK的研究。结果显示:胰岛素瘤及胰岛增生Ins均阳性,Ins阳性程度与临床症状的轻重无关。胰岛素肿瘤多数为混合性的,而增生基本上是单一的,免疫反应强度与细胞分化程度有关,而与组织学类型无关;无功能性肿瘤仅表现个别激素的弱阳性。NSE,CHG及SYP均是胰岛肿瘤的良好标记,它们与EMA及K(CK)联合使用,有助于胰岛内分泌肿瘤与外分泌肿瘤的鉴别;hCG有助于鉴别胰岛素肿瘤的良恶性。
The immunohistochemical ABC and LSAB methods were used to study Ins, Gas, Glu, Som, Ser, VIP, PP, NSE, CHG, SYP, hCG, EMA, K and CK in 27 cases of islet tumor and 3 cases of islet hyperplasia. The results showed that: Insulinoma and Ins were all positive for Ins, and the degree of Ins was not related to the severity of clinical symptoms. Insulin tumours are mostly mixed, and the proliferation is basically single, the intensity of the immune response is related to the degree of cell differentiation, but not to the type of histology; the non-functional tumours are only weakly positive for individual hormones. NSE, CHG and SYP are all good markers of islet tumors. They are used in combination with EMA and K (CK) to help differentiate between endocrine and exocrine tumors of the pancreas. hCG can help differentiate between benign and malignant insulinomas.