实用肝脏病杂志 ›› 2020, Vol. 23 ›› Issue (5): 727-730.doi: 10.3969/j.issn.1672-5069.2020.05.031

• 肝癌 • 上一篇    下一篇

肝原发性腺鳞癌6例临床与病理学观察

刘旭, 胡余昌, 陈路, 刘宇飞, 吴琪   

  1. 443001 湖北省宜昌市 三峡大学病理学研究所/宜昌市中心人民医院病理科
  • 出版日期:2020-09-10 发布日期:2020-09-11
  • 通讯作者: 陈路,E-mail: 176255286@qq.com
  • 作者简介:刘旭,男,28岁,硕士研究生,医师。主要从事消化和淋巴造血系统疾病临床研究。E-mail:9243407@qq.com
  • 基金资助:
    湖北省重点实验室开放基金资助项目(编号:2018KZL03);湖北省高等学校省级教学研究项目(编号:2017260)

Clinicopathological manifestation of primary liver adenosquamous carcinoma: An analysis of six cases

Liu Xu, Hu Yuchang, Cheng Lu, et al.   

  1. Institute of Pathology, Sanxia University, Yichang 443001, Hubei Province, China
  • Online:2020-09-10 Published:2020-09-11

摘要: 目的 分析肝原发性腺鳞癌(ASC)患者临床和组织病理学特征。方法 回顾性分析6例肝ASC患者的临床资料,采取肝叶切除或/和经动脉化疗栓塞治疗,采用SP 法检测蛋白表达。 结果 在6例患者中,男性2例,女性4例;年龄为54~75岁,平均年龄为(63.0±8.3)岁;临床均以腹痛为首发表现,影像学检查发现肝内占位性病变;肿瘤组织肉眼观呈灰白色、实性,边界较清晰;镜下见瘤细胞呈巢状或腺管状;6例肝组织腺癌区域均表达CK7、CK19、cam5.2和Ki-67,4例表达CEA,3例表达CK20,2例表达CDX-2,1例表达MUC-1;鳞癌区域均表达p40、p63和CK5/6, 4例弱阳性表达CK19,3例弱阳性表达EMA;术后平均生存6个月。结论 肝原发性腺鳞癌主要依靠病理学检查诊断,其恶性程度较高,患者生存期短。

关键词: 肝腺鳞癌, 组织病理学, 蛋白表达, 免疫组织化学 ,  ,  

Abstract: Objective The aim of this study was to analyze the clinicopathological features of patients with primary adenosquamous carcinoma(ASC)of liver. Methods The clinical and histopathological data of 6 patients with ASC were analyzed retrospectively, and all patients received hepatectomy and/or TACE. The hepatic tissue protein expression was detected by SP. Results In the six patients, two were women and four women, aged 54-75 yr with an average age of (63.0±8.3) yr; all patients presented with abdominal pain and intrahepatic foci were found by imaging examination; the gross foci mass was grayish white and solid with a relative clear border; the tumor cells were nested or glandular tubular microscopically; the SP detection showed the hepatic CK7, CK19, cam5.2 and Ki-67 positive in six, CEA positive in four, CK20 in three, CDX-2 in two and MUC-1 in one; the overall survival was 6 months. Conclusion The diagnosis of primary ASC of liver depends on the pathological examination, the tumor is malignant and the survival of patients is short.

Key words: Hepatoma, Primary adenosquamous carcinoma, Histopathology, Immunohistochemistry