现代肿瘤医学
現代腫瘤醫學
현대종류의학
Journal of Modern Oncology
2015年
21期
3161-3163
,共3页
石国英%毛家荣%徐红%陈玲%贾旭春%程虹
石國英%毛傢榮%徐紅%陳玲%賈旭春%程虹
석국영%모가영%서홍%진령%가욱춘%정홍
血管淋巴管瘤%病理诊断%空肠
血管淋巴管瘤%病理診斷%空腸
혈관림파관류%병리진단%공장
hemolymphangioma%pathological diagnosis%jejunum
目的:报道1例空肠血管淋巴管瘤,结合文献探讨其临床病理学特征及诊断要点。方法:对1例空肠血管淋巴管瘤进行临床病理分析及免疫组化观察。结果:空肠血管淋巴管瘤无特殊临床表现及肠镜特点,镜下黏膜及黏膜下层查见大量大小不一的薄壁管腔,腔内壁衬覆单层扁平内皮,部分管腔扩张充血,部分管腔内充满淋巴液并含有淋巴细胞。免疫组化表型:淋巴管瘤CD31、CD34和D2-40均阳性,而血管瘤CD31、CD34阳性、D2-40阴性。结论:血管淋巴管瘤是一种少见的良性肿瘤,发生于胃肠道尤其是空肠的血管淋巴管瘤极为少见,小肠镜检查及临床特征与恶性肿瘤难以鉴别,需要结合病理学检查确定诊断。
目的:報道1例空腸血管淋巴管瘤,結閤文獻探討其臨床病理學特徵及診斷要點。方法:對1例空腸血管淋巴管瘤進行臨床病理分析及免疫組化觀察。結果:空腸血管淋巴管瘤無特殊臨床錶現及腸鏡特點,鏡下黏膜及黏膜下層查見大量大小不一的薄壁管腔,腔內壁襯覆單層扁平內皮,部分管腔擴張充血,部分管腔內充滿淋巴液併含有淋巴細胞。免疫組化錶型:淋巴管瘤CD31、CD34和D2-40均暘性,而血管瘤CD31、CD34暘性、D2-40陰性。結論:血管淋巴管瘤是一種少見的良性腫瘤,髮生于胃腸道尤其是空腸的血管淋巴管瘤極為少見,小腸鏡檢查及臨床特徵與噁性腫瘤難以鑒彆,需要結閤病理學檢查確定診斷。
목적:보도1례공장혈관림파관류,결합문헌탐토기림상병이학특정급진단요점。방법:대1례공장혈관림파관류진행림상병리분석급면역조화관찰。결과:공장혈관림파관류무특수림상표현급장경특점,경하점막급점막하층사견대량대소불일적박벽관강,강내벽츤복단층편평내피,부분관강확장충혈,부분관강내충만림파액병함유림파세포。면역조화표형:림파관류CD31、CD34화D2-40균양성,이혈관류CD31、CD34양성、D2-40음성。결론:혈관림파관류시일충소견적량성종류,발생우위장도우기시공장적혈관림파관류겁위소견,소장경검사급림상특정여악성종류난이감별,수요결합병이학검사학정진단。
Objective:To report one case of hemolymphangioma of the jejunum and explore its clinical and his-topathologic features and diagnosis. Methods:The case was analyzed by history review,histology and immunohisto-chemistry. Results:Patients with hemolymphangioma of the jejunum had no special clinical and physical sign. Patho-logical analysis showed dilated lymphatic and blood vessels in mucosa and submucosa of the jejunum. The hemolym-phangioma component showed positive immunohistochemical reaction to CD31,CD34 and D2-40,while the hemangi-oma component showed negative immunohistochemical reaction to D2-40. Conclusion:Hemolymphangioma is a very rare benign tumor,especially involving the jejunum. Due to lacK of special clinical and endoscopic features,preopera-tive recognition of hemolymphangioma is not easy. The diagnosis rely mainly on histopathological and immunohisto-chemical findings.