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疑难、罕见、典型

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性别年龄64临床诊断
一般病史体检发现
标本名称肺标本
大体所见右肺下叶结节性肿物,直径1.3cm,表面胸膜皱缩。
  • 疑难、罕见、典型图1
    图1
  • 疑难、罕见、典型图2
    图2
  • 疑难、罕见、典型图3
    图3
  • 疑难、罕见、典型图4
    CK7
  • 疑难、罕见、典型图5
    CK5/6
  • 疑难、罕见、典型图6
    TTF-1

 

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本帖最后由 lindongliang2008 于 2014-03-06 21:25:28 编辑
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4 楼    发表于2014-03-13 17:23:08举报|引用
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 答案:鳞状上皮腺性乳头状瘤。

 2013 Aug;5(4):E129-32. doi: 10.3978/j.issn.2072-1439.2013.07.38.

Pulmonary mixed squamous cell and glandular papilloma mimicking adenocarcinoma: a case study and literature review.

Abstract

Mixed squamous cell and glandular papilloma of the lung is an extremely rare benign neoplasm. Here we present another case of mixed squamous cell and glandular papilloma in a 64-year-old female nonsmoker. Histologically, the tumor was composed of mainly papillary structures covered with squamous, glandular and transitional epithelium. Some glandular structures extending into adjacent bronchiolar and alveolar spaces with mucus were similar to adenocarcinoma. Immunohistochemical analysis showed the different kinds of epithelia had similar immunophenotype. The different components were positive for cytokeratin (CK)7, CK19, CAM5.2, CK5/6, CK34βE12, and TTF-1, but negative for CK20. The transitional morphology and immunohistochemistry indicate the different components likely come from a same kind of progenitor in the bronchiolar wall.

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