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Depend on types of tumors you want to differentiate.
1. Most common malignant epithelial carcinoma of oavry is high grade serous carcinoma.
Best margers: P53, WT1:more than 80 or 90% cases of the tumors are dissuely and strongly positive. P16 is strongly positive in most serous ca also.
2. Endometrioid ca: msot tumors are strongly and diffusely positive for ER. P53 and WT1 are negative in most cases or weakly focally positive in few cases.
3. Cear cell ca: No good markers in clinical use. P53, wt1 er can be positive or negative.
Some new markers, like hepatocyte nuclear factor (HNF0 1 beta and p-VHL can be spesific for ccc. I doubt they are clinically used in China.
Hope it can help.
译cazhao的回复:
要看你要鉴别肿瘤的类型。
1。最常见的卵巢癌是高级别浆液性癌。较好的抗体有P53、WT1,80-90%以上的病例可见弥漫、很强的表达。P16在很多浆液性癌中也见很强的表达。
2。卵巢子宫内膜样癌:多是病例是会弥漫、强表达ER。P53和WT1在大多数病例中为阴性表达,少数病例中可见一些叫弱的或局灶性阳性表达。
3。透明细胞癌:没有什么太好的标记物,P53、WT1可以为阳性或阴性。
一些新的标记物,如:肝细胞核因子(HNF0 1 beta 和 p-VHL 在透明细胞癌中可能会更特异。但我不知道在中国它们是否已经被应用)
希望它对你有帮助。
hongpinguo 离线