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病理报告单上的免疫组化怎么看?肿瘤免疫组化汇总-软组织肿瘤部分

 e药安全 2020-12-03

软组织肿瘤


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-SMAMSAcalponinCD68(KP-1)vimentin

阴性:desminh-caldesmonCD34β-catenin

2.增生性筋膜炎和增生性肌炎

阳性:α-SMAMSAcalponinCD68(KP-1)vimentin

阴性:desminh-caldesmonCD34β-cateninAE1/AE3S-100

3.骨化性肌炎和指趾纤维骨性假瘤

阳性:α-SMAMSAvimentinosteocalcin

阴性;h-caldesmonCD34β-cateninAE1/AE3S-100

4.缺血性筋膜炎

阳性:α-SMAMSAvimentinCD68CD34

阴性:h-caldesmondesmin

5.器官相关性假肉瘤样肌纤维母细胞增生

阳性:AE1/AE3vimentinα-SMAMSAdesminALK(50%)

阴性:h-caldesmonmyogeninMyoD1S-100

6.弹力纤维瘤

阳性:elastin

7.婴幼儿纤维性错构瘤

阳性:vimentinα-SMAMSAS-100CD34

阴性:desminh-caldesmon

8.肌纤维瘤或肌纤维瘤病

阳性:α-SMAMSAvimentin

阴性:h-caldesmondesminS-100AE1/AE3EMA

9.颈纤维瘤病

阳性:α-SMAMSAvimentin

阴性:h-caldesmondesminS-100AE1/AE3 

10.婴幼儿玻璃样变纤维瘤病

阳性:vimentin

阴性:α-SMAMSAh-caldesmondesminS-100AE1/AE3

11.婴幼儿指趾纤维瘤病(包涵体性纤维瘤病)

阳性:α-SMAMSAvimentin

阴性:h-caldesmonmyogeninS-100

12.腱鞘纤维瘤

阳性:vimentinα-SMAMSACD68

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:vimentinα-SMAMSA

阴性:desminCD34S-100

14.乳腺型肌纤维母细胞瘤

阳性:desminCD34α-SMA

阴性:h-caldesmon

15.钙化性腱膜纤维瘤

阳性:vimentinα-SMAMSACD99S-100

阴性:AE1/AE3desmin

16.血管肌纤维母细胞瘤

阳性:desminα-SMAMSAERPRFGFVEGF

阴性:h-caldesmonMyogeninAE1/AE3S-100 

17.富于细胞性血管纤维瘤

阳性:vimentinCD34ERPR

阴性:h-caldesmonmyogeninAE1/AE3S-100

18.宫颈阴道浅表性肌纤维母细胞瘤

阳性:desminCD34ERPRα-SMAMSA

阴性:h-caldesmonAE1/AE3

19.淋巴结内栅栏状肌纤维母细胞瘤

阳性:α-SMAcyclinD1

阴性:desminCD34S-100HMB45GFAP

20.项型纤维瘤和Gardner纤维瘤

阳性:vimentinCD34CD99β-catenin

阴性:α-SMAdesminS-100

21.钙化性纤维性肿瘤

阳性:vimentinFXIIIa

阴性:α-SMAdesminCD34AE1/AE3ALKS-100

22.巨细胞血管纤维瘤

阳性:CD34CD99Bcl-2vimentin

阴性:α-SMAdesminAE1/AE3S-100

23.掌和跖纤维瘤病

阳性:α-SMAMSAβ-catenindesminvimentinlaminafibronectinTGF-βPDGFFGF

阴性:h-caldesmon

24.韧带样瘤型纤维瘤病

阳性:α-SMAMSAβ-catenindesminvimentin

阴性:h-caldesmonCD117DOG1

25.孤立性纤维性肿瘤

阳性:CD34Bcl-2CD99EMA(30%)α-SMA(20%)MSA

阴性:desminAE1/AE3S-100

26.炎性肌纤维母细胞瘤

阳性:α-SMAMSAdesminCD68(KP-1)ALK(50%)vimentin

阴性:CD34CD117h-caldesmonmyogeninS-100

27.肌纤维母细胞肉瘤

阳性:α-SMAMSAdesmincalponinvimentin

阴性:h-caldesmonmyogenin

28.黏液炎性纤维母细胞性肉瘤

阳性:vimentinCD34

阴性:desminactinsS-100AE1/AE3EMACD30

29.婴幼儿型纤维肉瘤

阳性:vimentinα-SMA(33%)MSA(29%)

阴性:AE1/AE3CAM5.2EMAdesminmyogeninS-100

30.成年型纤维肉瘤

阳性:vimentinα-SMAMSA

阴性:desminS-100AE1/AE3

31.黏液纤维肉瘤

阳性:vimentinα-SMAMSA

阴性:desminS-100AE1/AE3CD68

32.低度恶性纤维黏液样肉瘤

阳性:vimentinα-SMAMSA

阴性:desminCD34S-100AE1/AE3

33.硬化性上皮样纤维肉瘤

阳性:vimentinEMA

阴性:desminCD34α-SMAMSACD68

纤维组织细胞性肿瘤

1.良性纤维组织细胞瘤

阳性:FXIIIaKP-1α-SMA

阴性:CD34ApoD

2.幼年性黄色肉芽肿

阳性:CD68(KP-1/PGM1)HAM-56FXIIIaCD4α1-ATα1-ACTlysozyme

阴性:S-100CD1a

3.网状组织细胞瘤

阳性:CD68(KP-1/PGM1)HAM-56α1-ATα1-ACTlysozymeMSA

阴性:S-100HMB45

4.黄色瘤

阳性:CD68(KP-1)lysozymeMac387

阴性:S-100

5.腱鞘巨细胞瘤

阳性:CD68MSAdesmin(50%)TRAP

阴性:CD34AE1/AE3S-100

6.非典型性纤维黄色瘤

阳性:LN-2(CD74)CD10α-SMAMSAcalponinCD163

阴性:S-100HMB45AE1/AE3h-caldesmon

7.隆突性皮纤维肉瘤和巨细胞纤维母细胞瘤

阳性:CD34ApoD

阴性FXIIIaS-100

8.血管瘤样纤维组织细胞瘤

阳性:CD68(KP-1)desminCD99MSAα-SMAcalponinh-caldesmonEMA

阴性:CD31CD34S-100HMB45AE1/AE3CAM5.2

9.丛状纤维组织细胞瘤

阳性:CD68(KP-1)α-SMATRAP

阴性:HLA-DRlysozymeL-2S-100AE1/AE3desminFXIIIa

10.软组织巨细胞瘤

阳性:CD68α-SMATRAP

阴性:CD45S-100desminlysozyme

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/AE3S-100desminα-SMA

脂肪组织肿瘤

1.脂肪瘤

阳性:S-100leptinvimentin

2.肌脂肪瘤

阳性:S-100α-SMAdesmin

3.软骨样脂肪瘤

阳性:S-100vimentin

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-100CD34vimentin

5.棕色脂肪瘤

阳性:S-100CD34 

6.非典型性脂肪瘤样肿瘤或分化良好的脂肪肉瘤

阳性:S-100MDM2CDK4

阴性:HMB45PNL2

7.脂肪平滑肌肉瘤

阳性:S-100α-SMAMSAdesminh-caldesmon

阴性:HMB45PNL2

8.去分化脂肪肉瘤

阳性:S-100MDM2CDK4

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-100EMA

平滑肌肿瘤

1.平滑肌瘤

阳性:α-SMAMSAh-caldesmondesmincalponin

阴性:CD34HMB45S-100

2.血管平滑肌瘤

阳性:α-SMAMSAh-caldesmondesmincalponinS-100

阴性:CD34HMB45

3.深部平滑肌瘤

阳性:α-SMAMSAh-caldesmondesmincalponinERPR

阴性:CD34HMB45S-100

4.平滑肌肉瘤

阳性:α-SMAMSAh-caldesmondesmincalponin

阴性:myogeninMyoD1CD117

血管周细胞肿瘤

1.血管球瘤

阳性:α-SMAMSAh-caldesmoncalponinIV型胶原

阴性:CD34desminAE1/AE3S-100

2.球周皮细胞瘤(鼻窦血管外皮瘤样肿瘤)

阳性:α-SMAMSAFXIIIalaminin

阴性:CD34CD99desmin

3.肌周皮细胞瘤

阳性:α-SMAdesminCD34

阴性:AE1/AE3S-100

横纹肌肿瘤

1.横纹肌瘤

阳性:desminMSAmyoglobinS-100

阴性:CD68AE1/AE3 

2.横纹肌肉瘤

阳性:desminMSAmyogeninMyoD1

阴性:h-caldesmonCD34S-100

胃肠道间质瘤

阳性:CD117CD34DOG1.1PDGFRAnestinh-caldesmonα-SMA

阴性:desmin

血管肿瘤

1.上皮样血管瘤

阳性:CD31F8CD34α-SMAMSA

2.梭形细胞血管瘤

阳性:vimentin

3.上皮样血管内皮瘤

阳性:CD31CD34FLI1F8AE1/AE3

4.卡波西型血管内皮瘤

阳性:CD34CD31VEGFR-3D2-40α-SMA

阴性:F8HHV8

5.血管内乳头状血管内皮瘤(Dabska)和网状血管内皮瘤

阳性:CD31CD34D2-40VEGFR-3

6.卡波西肉瘤

阳性:CD31CD34D2-40VEGFR-3FLI1LNA-1

阴性:F8

7.血管肉瘤

阳性:CD31CD34F8UEA-1CK

阴性:HHV-8

血管周上皮样肿瘤

阳性:HMB45PNL2Melan-A(A103)α-SMAMiTFCD117ERPR

阴性:S-100desmin

间皮瘤

阳性:CK5/6CalretininWT-1D2-40

阴性:CEABerEP4MOC-31B72.3BG8PAX8

周围神经肿瘤

1.神经鞘瘤

阳性:S-100Leu7GFAPNSEPGP9.5

2.神经纤维瘤

阳性:S-100vimentinCD34 

3.神经鞘黏液瘤

阳性:S-100S-100a6NKI-C3

4.神经束膜瘤

阳性:EMAclaudin-1

阴性:S-100

5.颗粒细胞瘤

阳性:S-100NSEKP-1

阴性:CD163

6.恶性周围神经鞘膜瘤

阳性:S-100Leu7

7.软组织透明细胞肉瘤

阳性:S-100HMB45PNL2NSEBcl-2

阴性:AE1/AE3calponin

神经外胚层瘤

1.神经母细胞瘤

阳性:NSELeu7PGP9.5

阴性:CD99

2.节细胞神经母细胞瘤和节细胞神经瘤

阳性:NSES-100

3.骨外尤文肉瘤或外周原始神经外胚层瘤

阳性:CD99vimentinFLI1CgASynNSE

阴性:myogenin

副神经节瘤

阳性:CgASynNSECD56S-100

阴性:AE1/AE3TFE3MyoD1

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:desminERPRα-SMAMSA

阴性:S-100

3.软组织混合瘤、肌上皮瘤和副脊索瘤

阳性:AE1/AE3vimentinS-100GFAPactinsdesminEMA 

4.软组织骨化性纤维黏液样肿瘤

阳性:S-100NSEvimentin desminLeu 7

5.软组织多形性血管扩张性肿瘤

阳性:vimentinCD34

阴性:S-100desminactinAE1/AE3CD31

6.异位错构瘤性胸腺瘤

阳性:AE1/AE3CK5CK6CK10CK13CK7CK8CK18CD10CD34α-SMA

阴性:CK20CD5TTF-1desmin

软组织杂类恶性肿瘤

1.滑膜肉瘤

阳性:AE1/AE3CAM5.2EMACK7CK19Bcl-2CalponinCD99TLE1vimentin

阴性:CD34desmin

2.腺泡状软组织肉瘤

阳性:TFE3MyoD1MSAdesmin

阴性:CgASynNSEAE1/AE3

3.上皮样肉瘤

阳性:AE1/AE3CAM5.2EMAvimentinCD34actins

阴性:CD31 

4.肾外恶性横纹肌样瘤

阳性:AE1/AE3CAM5.2vimentin

阴性:INI1

5.促结缔组织增生性小圆细胞肿瘤

阳性:desminvimentinAE1/AE3NSELeu 7

阴性:myogenin

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