检验医学与临床2016，Vol.13Issue(18)：2616-2618,3.DOI:10.3969/j.issn.1672-9455.2016.18.023
原发于盆腔淋巴结的淋巴管肌瘤病临床病理特征探讨
Clinicopathological features of primary lymphangioleiomyomatosis in pelvic lymph nodes
翟翠静 1张红凯 1罗静 1邵汇琳 1陈伟东1
作者信息
- 1. 首都医科大学附属复兴医院病理科，北京 100038
- 折叠
摘要
Abstract
Objective To investigate the clinical pathologic characteristics ,diagnosis and treatment methods of lymphangioleio‐myomatosis(LAM ) .Methods The clinical data ,light microscopic and immunohistochemical results in 1 case of LAM originated from pelvic lymph nodes were reported and discussed by combining with the related literatures .Results The histology revealed that the right internal iliac and left inguinal lymph nodes had hyperplasia of smooth muscle‐like cells and which arranged in bundles accompanied by fat metaplasia .The hyperplastic cells had good morphology ,some cells had the epithelioid cell feature and contained abundant acidophilic cytoplasm .The karyokinesis figure was rare .The immunohistochemical results showed that the hyperplastic cells were positive for SMA and HMB45 ,but negative for CK(AE1/AE3) ;inner lining lymphatic endothelial cells D2‐40 were posi‐tive ,but CD34 was negative .Conclusion Primary pelvic lymph node LAM is relatively rare .Immunohistochemistry has an impor‐tant significance for its diagnosis .The general prognosis is good after surgical excision .关键词
淋巴管肌瘤病/盆腔淋巴结/诊断Key words
lymphangioleiomyomatosis/pelvic lymph node/diagnosis引用本文复制引用
翟翠静,张红凯,罗静,邵汇琳,陈伟东..原发于盆腔淋巴结的淋巴管肌瘤病临床病理特征探讨[J].检验医学与临床,2016,13(18):2616-2618,3.
