纤维母细胞和肌纤维母细胞性肿瘤 1.结节性筋膜炎 阳性:α-SMA,MSA,calponin,CD68(KP-1),vimentin 阴性:desmin,h-caldesmon,CD34,β-catenin 2.增生性筋膜炎和增生性肌炎 阳性:α-SMA,MSA,calponin,CD68(KP-1),vimentin 阴性:desmin,h-caldesmon,CD34,β-catenin,AE1/AE3,S-100 3.骨化性肌炎和指趾纤维骨性假瘤 阳性:α-SMA,MSA,vimentin,osteocalcin 阴性;h-caldesmon,CD34,β-catenin,AE1/AE3,S-100 4.缺血性筋膜炎 阳性:α-SMA,MSA,vimentin,CD68,CD34 阴性:h-caldesmon,desmin 5.器官相关性假肉瘤样肌纤维母细胞增生 阳性:AE1/AE3,vimentin,α-SMA,MSA,desmin,ALK(50%) 阴性:h-caldesmon,myogenin,MyoD1,S-100 6.弹力纤维瘤 阳性:elastin 7.婴幼儿纤维性错构瘤 阳性:vimentin,α-SMA,MSA,S-100,CD34 阴性:desmin,h-caldesmon 8.肌纤维瘤或肌纤维瘤病 阳性:α-SMA,MSA,vimentin 阴性:h-caldesmon,desmin,S-100,AE1/AE3,EMA 9.颈纤维瘤病 阳性:α-SMA,MSA,vimentin 阴性:h-caldesmon,desmin,S-100,AE1/AE3 10.婴幼儿玻璃样变纤维瘤病 阳性:vimentin 阴性:α-SMA,MSA,h-caldesmon,desmin,S-100,AE1/AE3 11.婴幼儿指趾纤维瘤病(包涵体性纤维瘤病) 阳性:α-SMA,MSA,vimentin 阴性:h-caldesmon,myogenin,S-100 12.腱鞘纤维瘤 阳性:vimentin,α-SMA,MSA,CD68 阴性:desmin 13.促结缔组织增生性纤维母细胞瘤(胶原性纤维瘤) 阳性:vimentin,α-SMA,MSA 阴性:desmin,CD34,S-100 14.乳腺型肌纤维母细胞瘤 阳性:desmin,CD34,α-SMA 阴性:h-caldesmon 15.钙化性腱膜纤维瘤 阳性:vimentin,α-SMA,MSA,CD99,S-100 阴性:AE1/AE3,desmin 16.血管肌纤维母细胞瘤 阳性:desmin,α-SMA,MSA,ER,PR,FGF,VEGF 阴性:h-caldesmon,Myogenin,AE1/AE3,S-100 17.富于细胞性血管纤维瘤 阳性:vimentin,CD34,ER,PR 阴性:h-caldesmon,myogenin,AE1/AE3,S-100 18.宫颈阴道浅表性肌纤维母细胞瘤 阳性:desmin,CD34,ER,PR,α-SMA,MSA 阴性:h-caldesmon,AE1/AE3 19.淋巴结内栅栏状肌纤维母细胞瘤 阳性:α-SMA,cyclinD1 阴性:desmin,CD34,S-100,HMB45,GFAP 20.项型纤维瘤和Gardner纤维瘤 阳性:vimentin,CD34,CD99,β-catenin 阴性:α-SMA,desmin,S-100 21.钙化性纤维性肿瘤 阳性:vimentin,FXIIIa 阴性:α-SMA,desmin,CD34,AE1/AE3,ALK,S-100 22.巨细胞血管纤维瘤 阳性:CD34,CD99,Bcl-2,vimentin 阴性:α-SMA,desmin,AE1/AE3,S-100 23.掌和跖纤维瘤病 阳性:α-SMA,MSA,β-catenin,desmin,vimentin,lamina,fibronectin,TGF-β,PDGF,FGF 阴性:h-caldesmon 24.韧带样瘤型纤维瘤病 阳性:α-SMA,MSA,β-catenin,desmin,vimentin 阴性:h-caldesmon,CD117,DOG1 25.孤立性纤维性肿瘤 阳性:CD34,Bcl-2,CD99,EMA(30%),α-SMA(20%),MSA 阴性:desmin,AE1/AE3,S-100 26.炎性肌纤维母细胞瘤 阳性:α-SMA,MSA,desmin,CD68(KP-1),ALK(50%),vimentin 阴性:CD34,CD117,h-caldesmon,myogenin,S-100 27.肌纤维母细胞肉瘤 阳性:α-SMA,MSA,desmin,calponin,vimentin 阴性:h-caldesmon,myogenin 28.黏液炎性纤维母细胞性肉瘤 阳性:vimentin,CD34 阴性:desmin,actins,S-100,AE1/AE3,EMA,CD30 29.婴幼儿型纤维肉瘤 阳性:vimentin,α-SMA(33%),MSA(29%) 阴性:AE1/AE3,CAM5.2,EMA,desmin,myogenin,S-100 30.成年型纤维肉瘤 阳性:vimentin,α-SMA,MSA 阴性:desmin,S-100,AE1/AE3 31.黏液纤维肉瘤 阳性:vimentin,α-SMA,MSA 阴性:desmin,S-100,AE1/AE3,CD68 32.低度恶性纤维黏液样肉瘤 阳性:vimentin,α-SMA,MSA 阴性:desmin,CD34,S-100,AE1/AE3 33.硬化性上皮样纤维肉瘤 阳性:vimentin,EMA 阴性:desmin,CD34,α-SMA,MSA,CD68 纤维组织细胞性肿瘤 1.良性纤维组织细胞瘤 阳性:FXIIIa,KP-1,α-SMA 阴性:CD34,ApoD 2.幼年性黄色肉芽肿 阳性:CD68(KP-1/PGM1),HAM-56,FXIIIa,CD4,α1-AT,α1-ACT,lysozyme 阴性:S-100,CD1a 3.网状组织细胞瘤 阳性:CD68(KP-1/PGM1),HAM-56,α1-AT,α1-ACT,lysozyme,MSA 阴性:S-100,HMB45 4.黄色瘤 阳性:CD68(KP-1),lysozyme,Mac387 阴性:S-100 5.腱鞘巨细胞瘤 阳性:CD68,MSA,desmin(50%),TRAP 阴性:CD34,AE1/AE3,S-100 6.非典型性纤维黄色瘤 阳性:LN-2(CD74),CD10,α-SMA,MSA,calponin,CD163 阴性:S-100,HMB45,AE1/AE3,h-caldesmon 7.隆突性皮纤维肉瘤和巨细胞纤维母细胞瘤 阳性:CD34,ApoD 阴性FXIIIa,S-100 8.血管瘤样纤维组织细胞瘤 阳性:CD68(KP-1),desmin,CD99,MSA,α-SMA,calponin,h-caldesmon,EMA 阴性:CD31,CD34,S-100,HMB45,AE1/AE3,CAM5.2 9.丛状纤维组织细胞瘤 阳性:CD68(KP-1),α-SMA,TRAP 阴性:HLA-DR,lysozyme,L-2,S-100,AE1/AE3,desmin,FXIIIa 10.软组织巨细胞瘤 阳性:CD68,α-SMA,TRAP 阴性:CD45,S-100,desmin,lysozyme 11.恶性纤维组织细胞瘤或多形性未分化肉瘤 阳性:无特异性的标志物,偶灶状表达AE1/AE3,S-100,desmin,α-SMA 脂肪组织肿瘤 1.脂肪瘤 阳性:S-100,leptin,vimentin 2.肌脂肪瘤 阳性:S-100,α-SMA,desmin 3.软骨样脂肪瘤 阳性:S-100,vimentin 4.梭形细胞脂肪瘤、多形性脂肪瘤和树突状纤维黏液脂肪瘤 阳性:S-100,CD34,vimentin 5.棕色脂肪瘤 阳性:S-100,CD34 6.非典型性脂肪瘤样肿瘤或分化良好的脂肪肉瘤 阳性:S-100,MDM2,CDK4 阴性:HMB45,PNL2 7.脂肪平滑肌肉瘤 阳性:S-100,α-SMA,MSA,desmin,h-caldesmon 阴性:HMB45,PNL2 8.去分化脂肪肉瘤 阳性:S-100,MDM2,CDK4 9.黏液性脂肪肉瘤和圆细胞性脂肪肉瘤 阳性:S-100 10.多形性脂肪肉瘤 阳性:S-100,EMA 平滑肌肿瘤 1.平滑肌瘤 阳性:α-SMA,MSA,h-caldesmon,desmin,calponin 阴性:CD34,HMB45,S-100 2.血管平滑肌瘤 阳性:α-SMA,MSA,h-caldesmon,desmin,calponin,S-100 阴性:CD34,HMB45 3.深部平滑肌瘤 阳性:α-SMA,MSA,h-caldesmon,desmin,calponin,ER,PR 阴性:CD34,HMB45,S-100 4.平滑肌肉瘤 阳性:α-SMA,MSA,h-caldesmon,desmin,calponin 阴性:myogenin,MyoD1,CD117 血管周细胞肿瘤 1.血管球瘤 阳性:α-SMA,MSA,h-caldesmon,calponin,IV型胶原 阴性:CD34,desmin,AE1/AE3,S-100 2.球周皮细胞瘤(鼻窦血管外皮瘤样肿瘤) 阳性:α-SMA,MSA,FXIIIa,laminin 阴性:CD34,CD99,desmin 3.肌周皮细胞瘤 阳性:α-SMA,desmin,CD34 阴性:AE1/AE3,S-100 横纹肌肿瘤 1.横纹肌瘤 阳性:desmin,MSA,myoglobin,S-100 阴性:CD68,AE1/AE3 2.横纹肌肉瘤 阳性:desmin,MSA,myogenin,MyoD1 阴性:h-caldesmon,CD34,S-100 胃肠道间质瘤 阳性:CD117,CD34,DOG1.1,PDGFRA,nestin,h-caldesmon,α-SMA 阴性:desmin 血管肿瘤 1.上皮样血管瘤 阳性:CD31,F8,CD34,α-SMA,MSA 2.梭形细胞血管瘤 阳性:vimentin 3.上皮样血管内皮瘤 阳性:CD31,CD34,FLI1,F8,AE1/AE3 4.卡波西型血管内皮瘤 阳性:CD34,CD31,VEGFR-3,D2-40,α-SMA 阴性:F8,HHV8 5.血管内乳头状血管内皮瘤(Dabska瘤)和网状血管内皮瘤 阳性:CD31,CD34,D2-40,VEGFR-3 6.卡波西肉瘤 阳性:CD31,CD34,D2-40,VEGFR-3,FLI1,LNA-1 阴性:F8 7.血管肉瘤 阳性:CD31,CD34,F8,UEA-1,CK 阴性:HHV-8 血管周上皮样肿瘤 阳性:HMB45,PNL2,Melan-A(A103),α-SMA,MiTF,CD117,ER,PR 阴性:S-100,desmin 间皮瘤 阳性:CK5/6,Calretinin,WT-1,D2-40 阴性:CEA,BerEP4,MOC-31,B72.3,BG8,PAX8 周围神经肿瘤 1.神经鞘瘤 阳性:S-100,Leu7,GFAP,NSE,PGP9.5 2.神经纤维瘤 阳性:S-100,vimentin,CD34 3.神经鞘黏液瘤 阳性:S-100,S-100a6,NKI-C3 4.神经束膜瘤 阳性:EMA,claudin-1 阴性:S-100 5.颗粒细胞瘤 阳性:S-100,NSE,KP-1 阴性:CD163 6.恶性周围神经鞘膜瘤 阳性:S-100,Leu7 7.软组织透明细胞肉瘤 阳性:S-100,HMB45,PNL2,NSE,Bcl-2 阴性:AE1/AE3,calponin 神经外胚层瘤 1.神经母细胞瘤 阳性:NSE,Leu7,PGP9.5 阴性:CD99 2.节细胞神经母细胞瘤和节细胞神经瘤 阳性:NSE,S-100 3.骨外尤文肉瘤或外周原始神经外胚层瘤 阳性:CD99,vimentin,FLI1,CgA,Syn,NSE 阴性:myogenin 副神经节瘤 阳性:CgA,Syn,NSE,CD56,S-100 阴性:AE1/AE3,TFE3,MyoD1 软组织良性或低度恶性肿瘤 1.肌内黏液瘤和关节旁黏液瘤 阳性:vimentin 阴性:S-100 2.深部“侵袭性”血管黏液瘤 阳性:desmin,ER,PR,α-SMA,MSA 阴性:S-100 3.软组织混合瘤、肌上皮瘤和副脊索瘤 阳性:AE1/AE3,vimentin,S-100,GFAP,actins,desmin,EMA 4.软组织骨化性纤维黏液样肿瘤 阳性:S-100,NSE,vimentin, desmin,Leu 7 5.软组织多形性血管扩张性肿瘤 阳性:vimentin,CD34 阴性:S-100,desmin,actin,AE1/AE3,CD31 6.异位错构瘤性胸腺瘤 阳性:AE1/AE3,CK5,CK6,CK10,CK13,CK7,CK8,CK18,CD10,CD34,α-SMA 阴性:CK20,CD5,TTF-1,desmin 软组织杂类恶性肿瘤 1.滑膜肉瘤 阳性:AE1/AE3,CAM5.2,EMA,CK7,CK19,Bcl-2,Calponin,CD99,TLE1,vimentin 阴性:CD34,desmin 2.腺泡状软组织肉瘤 阳性:TFE3,MyoD1,MSA,desmin 阴性:CgA,Syn,NSE,AE1/AE3 3.上皮样肉瘤 阳性:AE1/AE3,CAM5.2,EMA,vimentin,CD34,actins 阴性:CD31 4.肾外恶性横纹肌样瘤 阳性:AE1/AE3,CAM5.2,vimentin 阴性:INI1 5.促结缔组织增生性小圆细胞肿瘤 阳性:desmin,vimentin,AE1/AE3,NSE,Leu 7 阴性:myogenin |
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