星形细胞瘤 1.毛细胞星形细胞瘤(WHO I) 阳性:GFAP 2.室管膜下巨细胞星形细胞瘤(WHO I) 阳性:GFAP,S-100 3.弥漫性星形细胞瘤(WHO II) 阳性:Vimentin,GFAP,S-100,SOX2,Caveolin,Oligo-2(91%),一些PCK,P53(50%) 4.毛黏液样星形细胞瘤 阳性:GFAP,S-100,一些SYN 阴性:NF,CgA 5.多形性黄色星形细胞瘤(WHO II) 阳性:GFAP,S-100,CD34,一些SYN,一些NF, Class III β-tubulin,MAP2 6.间变型星形细胞瘤(WHO III) 阳性:GFAP,S-100,SOX2,caveolin,70%-90% P53 7.伴有神经毡样岛的胶质神经元肿瘤(WHO II/III) 阳性:胶质成分GFAP,神经毡样岛SYN,神经节细胞样细胞NeuN,Hu,P53 8.多形性胶质母细胞瘤(WHO IV) 阳性:GFAP,S-100,SOX2,caveolin,vimentin,>50%PCK,70%-90%P53 阴性:CAM5.2,CK7,CK20 9.巨细胞胶质母细胞瘤(WHO IV) 阳性:70%-90% P53 10.胶质肉瘤(WHO IV) 阳性:上皮分化区可呈CAM5.2,CK7,CK20 阴性:GFAP 少突胶质肿瘤 1.少突胶质瘤(WHO II) 阳性:Oligo-2,S-100,CD57,SOX2 阴性caveolin 2.间变型少突胶质瘤(WHO III) 室管膜肿瘤 1.室管膜下瘤(WHO II) 阳性:GFAP,NCAM,NSE 2.黏液乳头状室管膜瘤(WHO I) 阳性:GFAP,vimentin,S-100,AB/PAS 阴性:CK 3.室管膜瘤(WHO II) 间变型室管膜瘤(WHO III) 阳性:EMA,CK7,CAM5.2,CK34βE12,GFAP,vimentin,S-100,SOX2,nestin,EMA,CD99,TTF-1,NeuN 脉络丛肿瘤 脉络丛乳头状瘤(WHO I) 不典型脉络丛乳头状瘤(WHO II) 脉络丛乳头状癌(WHO III) 阳性:vimentin,S-100,GFAP,transthyretin,CD99,PCK,CK7,EMA,podoplanin,Kir7.1 阴性:SOX2,caveolin,NeuN,CEA,ER,Ber-Ep4,TTF-1,CK20 其他神经上皮肿瘤 1.星形母细胞瘤 阳性:GFAP,S-100,vimentin,EMA,LCK 阴性:CAM5.2,PCK 2.血管中心性胶质瘤(WHO I) 阳性:GFAP,S-100,vimentin,podoplanin,EMA 阴性:NSE,Syn,CgA,NeuN 3.第三脑室脊索样胶质瘤(WHO II) 阳性:GFAP,vimentin,S-100,EMA,EGFR,merlin 阴性:P53,P21,MDM2,CK 神经元肿瘤、胶质神经元混合性肿瘤 1.婴儿促纤维增生性星形细胞瘤 婴儿促纤维增生性节细胞胶质瘤(WHO I) 阳性:GFAP,S-100,Syn,NF 2.胚胎发育不良性神经上皮肿瘤 阳性:S-100,GFAP,Syn,NF 3.神经节细胞胶质瘤(WHO I或III)和神经节细胞瘤(WHO I) 阳性:S-100,GFAP,CD34,SOX2,Syn,NF,MAP2,NeuN 4.小脑发育不良性神经节细胞瘤(WHO I) 阳性:S-100,Syn,NF,p-AKT,p-S6,Leu-4,L7,PEP19,calbindin 阴性:PTEN 5.乳头状胶质神经元肿瘤(WHO I) 阳性:Syn,NSE,CD56,β-tubulin,NeuN,NF,GFAP,Oligo-2 6.第四脑室伴有菊形团形成的胶质神经元肿瘤(WHO I) 阳性:Syn,NSE,MAP2,GFAP,S-100 7.中枢神经细胞瘤(WHO II)和脑室外神经细胞瘤 阳性:Syn,NeuN 阴性:GFAP,NF,CgA 8.小脑脂肪神经细胞瘤(WHO II)和脑室外神经细胞瘤 阳性:NSE,MAP2,Syn,GFAP,NeuN 松果体区肿瘤 1.松果体细胞瘤(WHO I) 阳性:Retinal S-antigen,Syn,NSE,NF,β-tubulin(Class III),tau,PGP9.5,CgA 2.中等分化的松果体实质肿瘤(WHO II) 阳性:Syn,NSE,NF,Retinal S-antigen,CgA 3.松果体母细胞瘤(WHO III) 阳性:Syn,NSE,NF,β-tubulin(Class III),CgA,Retinal S-antigen 4.松果体区乳头状肿瘤(WHO II/III) 阳性:PCK,CAM5.2,CK18,vimentin,S-100,NSE,MAP2,NCAM,transthyretin,GFAP,EMA 阴性:NF 胚胎性肿瘤 1.髓母细胞瘤 阳性:神经细胞标志(Syn,NSE,NeuN,NF,β-tubulin),GFAP,PCK,EMA 阴性:CD99,SOX2 2.中枢神经系统的原始神经外胚叶瘤(WHO IV) 阳性:Syn,NSE,NeuN,NF,β-tubulin,vimentin,GFAP 3.髓上皮瘤(WHO IV) 阳性:nestin,vimentin,CK,EMA,NF,Syn,β-tubulin,GFAP 4.室管膜母细胞瘤(WHO IV) 阳性:S-100,vimentin 5.不典型畸胎样或横纹肌样瘤(WHO IV) 阳性:GFAP,S-100,Syn,NF,vimentin,SMA,EMA 神经鞘瘤、神经纤维瘤、神经束膜瘤、恶性外周神经鞘瘤 脑膜肿瘤 脑膜瘤(WHO I) 不典型脑膜瘤(WHO II) 间变型脑膜瘤(WHO II) 阳性:vimentin,claudin 1,PCK,CK7,CK19,CAM5.2,S-100,EMA 阴性:CD34,GFAP 脑膜黑色素细胞瘤、弥漫性黑色素细胞增生和恶性黑色素瘤 阳性:S-100,Melan-A 淋巴造血组织肿瘤 生殖细胞肿瘤 1.生殖细胞瘤 阳性:PLAP,CD117,OCT-4;若有合体滋养叶细胞样成分,可呈β-HCG,h-PL,CK 阴性:CD30,AFP 2.胚胎癌 阳性:CK,PLAP,CD30,OCT-4 阴性CD117,AFP,EMA 3.卵黄囊瘤或内胚窦瘤 阳性:AFP,CK 阴性:CD117,OCT-4,β-HCG,h-PL,CD30 4.绒毛膜癌 阳性:β-HCG,h-PL,CK 阴性:CD117,OCT-4,CD30,AFP 5.畸胎瘤和混合型生殖细胞肿瘤 鞍区肿瘤 1.腺垂体梭形细胞嗜酸细胞瘤(WHO I) 阳性:vimentin,EMA,S-100,Galectin-3 阴性:CK,GFAP,Syn,CgA,SMA,desmin,CD34 2.神经垂体细胞瘤(WHO I) 阳性:S-100,GFAP 阴性:CK,Syn,CgA 3.神经垂体颗粒细胞瘤(WHO I) 阳性:S-100 4.颅咽管瘤(WHO I) 阳性:PCK,HCK,LCK,P63,CK7,β-catenin 其他肿瘤 1.脊索瘤 阳性:PCK,EMA,S-100 2.内淋巴囊瘤 阳性:PCK,EMA 3.嗅神经母细胞瘤 阳性:Syn,NF,MAP2,S-100 阴性:CD99 4.小脑血管母细胞瘤 阳性:间质细胞呈S-100,NSE,CD56,vimentin,Inhibin-α,D2-40 阴性:EMA,CD10,CAM5.2,RCC |
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