摘要
目的讨论女性腹膜原发癌的组织发生、形态学特点以及诊断要点和鉴别诊断。方法用普通形态学方法结合组织化学ＰＡＳ法及免疫组织化学染色观察６例女性腹膜原发癌的形态特点。结果诊断腹膜原发浆液性乳头状癌４例，腹膜原发的宫内膜样癌及移行细胞癌各１例。结论腹膜原发癌的组织相与原发于卵巢的分化程度相同的同类型肿瘤一致，诊断腹膜原发癌必须证实双侧卵巢、子宫、泌尿道无同类型肿瘤。此类肿瘤被认为是来源于第二苗勒系统，形态学观察及ＤＰＡＳ染色，癌胚抗原染色有助于与恶性间皮瘤鉴别。
Objective Histogenesis and morphological features of 6 primary carcinomas of female peritoneum were studied. Methods H&E staining, histochemical stainings and immunohistochemical stainings were used. Results Among 6 primary carcinomas there were 4 cases of serous papillary carcinomas, 1 case of endometrioid carcinoma and 1 case of transitional cell carcinoma. Conclusion Primary carcinomas of the female peritoneum were histologically identical to that of the similar epithelial carcinomas arising from the ovaries. The diagnosis was made only when the ovaries are not involved and without no any evidence of similar epithelial carcinoma obtained in the ovaries, uterus or urinary organs. These tumors are considered arising from the secondary Mullerian system. D PAS and CEA staining are helpful as the accessary criteria for the differential diagnosis between primary carcinoma of the peritoneum and malignant mesothelioma.
出处
《中华病理学杂志》
CAS
CSCD
北大核心
1999年第1期16-19,共4页
Chinese Journal of Pathology
关键词
腹膜肿瘤
诊断
原发癌
鉴别诊断
女性
Peritoneal neoplasms Ovarian neoplasms Diagnosis, differential
