原发性胃肠外间质瘤5例临床病理分析
作者: |
1郭艳敏,
1周梅香,
2石瑞芳
1 上海市宝山区中西医结合医院病理科,上海 201900 2 新乡市第一人民医院病理科,河南 新乡 453000 |
通讯: |
周梅香
Email: 15692132980@163.com |
DOI: | 10.3978/j.issn.2095-6959.2020.07.046 |
摘要
通过临床及病理观察、免疫组织化学检测、肿瘤危险度评估及生存状态分析对5例原发性胃肠外间质瘤(extragastrointestinal stromal tumour,EGIST)病例进行临床病理分析及生物学行为观察。5例EGIST患者,男2例,女3例,平均年龄53岁;肿瘤原发部位分别为大网膜、腹膜后、腹股沟、盆腔直肠阴道隔;肿瘤平均直径12.6 cm;组织学类型梭形细胞型3例,上皮样型1例,混合型1例;2例核分裂象>10个/50 HPF,2例>5个/50 HPF,1例<5个/50 HPF;肿瘤破裂2例,肿瘤坏死3例;CD117阳性5例,DOG1阳性5例,CD34阳性3例;肿瘤危险度评估高危5例;3例复发/转移,1例带病生存,2例无病生存,平均生存时间40.2个月。EGIST是一种罕见肿瘤,可原发于腹股沟软组织等极罕见部位;肿瘤平均直径大于10 cm,多为高度危险,复发/转移风险较高;组织学类型以梭形细胞型为主,CD117,DOG1有助于EGIST的诊断和鉴别诊断。
关键词:
胃肠外间质瘤;临床病理特征;危险度分级;诊断;CD117;DOG1
Clinicopathological analysis of primary extragastrointestinal stromal tumor: 5 case reports
CorrespondingAuthor: ZHOU Meixiang Email: 15692132980@163.com
DOI: 10.3978/j.issn.2095-6959.2020.07.046
Abstract
Clinical data, pathological histology, immunohistochemistry, tumor risk assessment and survival status analysis were used to analyze the clinicopathologic features and biologic behavior of primary extragastrointestinal stromal tumors. There were 5 patients with extragastrointestinal stromal tumour (EGIST), 2 males and 3 females, with an average age of 53 years. The original sites of the tumor were omentum, retroperitoneum, groin, rectovaginal septum and the average diameter of the tumor was 12.6 cm; spindle type were 3 cases, epithelioid type was 1 case and mixed type was 1 case; 2 cases of mitotic index more than 10/50 HPF, 2 cases more than 5/50 HPF, 1 case less than 5/50 HPF, 2 cases with tumor rupture, 3 cases with tumor necrosis, 5 cases with CD117 positive, 5 cases with DOG1 positive, 3 cases with CD34 positive. Five cases of tumors were all high risk, 3 cases of recurrence/metastasis, 1 case of disease survival, 2 cases of disease-free survival; the average over survival time was 40.2 months. Extragastrointestinal stromal tumor is a rare tumor, it can be found in the rare part of the inguinal soft tissue. The average diameter of the tumor is more than 10 cm, which is mostly high risk and the risk of recurrence/metastasis is high. The histology type is mainly spindle cells, CD117 and DOG1 are helpful for the diagnosis of extragastrointestinal stromal tumors.
Keywords:
extragastrointestinal stromal tumor; clinical pathological features; risk classification; diagnosis; CD117; DOG1