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Appl Immunohistochem Mol Morphol:免疫组化技术在前列腺病灶活检应用中的评估

2019-01-19 AlexYang MedSci原创

免疫组化(IHC)在前列腺病灶评估中的使用还没有常规化,且其价值还没有评估。最近,有研究人员提取了2011年到2017年的病理组织切片报告,并对其进行了回顾和分析。研究共包括了4477个活检样本。这些样本通过病理严重程度分类(染色百分比),群体包括1184名良性案例(42%);168个前列腺上皮内瘤案例(68%);323个疑似案例(93%);一级癌症(WHO1):900 (78%); 二级癌症(W

免疫组化(IHC)在前列腺病灶评估中的使用还没有常规化,且其价值还没有评估。最近,有研究人员提取了2011年到2017年的病理组织切片报告,并对其进行了回顾和分析。

研究共包括了4477个活检样本。这些样本通过病理严重程度分类(染色百分比),群体包括1184名良性案例(42%);168个前列腺上皮内瘤案例(68%);323个疑似案例(93%);一级癌症(WHO1):900 (78%); 二级癌症(WHO2): 840 (60%);WHO3癌症: 451 (54%);WHO4 癌症: 363 (46%);WHO5癌症: 215 (56%);癌症等级不能精确确定: 33 (52%)。其中,2个医院分别包括2716个活检案例和1761个活检案例,分别包括了10183和14852个IHC。具有IHC的案例在过去4年时间里减少(在两个医院分别为57%到45%和79%到73%)。35名病理学家解读了大于20个案例,并且一起解释了4418个案例(范围21-415,均值为88)。在4418个案例中,总共进行了2476个IHCs(5.6个/案例)。对35名病理学家来说,每个案例的IHCs平均值/中值/SD/最大值/最小值分别为5.6/4.1/3.9/15.2/0.9。高IHC使用者比低IHC使用者具有更高的恶性肿瘤的可能,但是并不明显。

最后,研究人员指出,IHC在良性和恶性肿瘤中最经常使用,并且依赖于病理学家和医院。然而,上述情况与WHO1癌症发生率无关。另外,诊断频率信息能够帮助确定合理的IHC使用。

原始出处:

Bonert M, El-Shinnawy I, Rahman M et al. Immunohistochemistry Use by Diagnostic Category and Pathologist in 4477 Prostate Core Biopsy Sets Assessed at Two Hospitals. Appl Immunohistochem Mol Morphol. 8 Jan 2019.

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    2019-08-22 yuanming17
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    2019-01-20 1e145228m78(暂无匿称)

    学习了,谢谢作者分享!

    0

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    2019-01-19 Janeinair

    学习学习了

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    2019-01-19 1e145228m78(暂无匿称)

    学习了,谢谢作者分享!

    0

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