常考常用免疫组化总结 || 中枢神经系统
时间:2024-06-13 21:00:31 热度:37.1℃ 作者:网络
星形细胞瘤
1.毛细胞星形细胞瘤(WHO I)
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阳性:GFAP
2. 室管膜下巨细胞星形细胞瘤(WHO I)
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阳性:GFAP,S-100
3. 弥漫性星形细胞瘤(WHO II)
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阳性:Vimentin, GFAP, S-100, SOX2, Caveolin, Oligo-2(91%), 一些PCK, P53(50%)
4. 毛黏液样星形细胞瘤
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阳性:GFAP, S-100, 一些SYN
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阴性:NF, CgA
5. 多形性黄色星形细胞瘤(WHO II)
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阳性:GFAP, S-100, CD34, 一些SYN, 一些NF, Class III β-tubulin, MAP2
6. 间变型星形细胞瘤(WHO III)
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阳性:GFAP, S-100, SOX2, caveolin, 70%-90% P53
7. 伴有神经毡样岛的胶质神经元肿瘤(WHO II/III)
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阳性:胶质成分GFAP, 神经毡样岛SYN, 神经节细胞样细胞NeuN, Hu, P53
8. 多形性胶质母细胞瘤(WHO IV)
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阳性:GFAP, S-100, SOX2, caveolin,vimentin,>50%PCK,70%-90%P53
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阴性:CAM5.2, CK7, CK20
9. 巨细胞胶质母细胞瘤(WHO IV)
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阳性:70%-90% P53
10. 胶质肉瘤(WHO IV)
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阳性:上皮分化区可呈CAM5.2,CK7,CK20
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阴性:GFAP
少突胶质肿瘤
1.少突胶质瘤(WHO II)
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阳性:Oligo-2,S-100,CD57,SOX2
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阴性:caveolin
室管膜肿瘤
1.脉络丛乳头状癌(WHO III)
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阳性:vimentin, S-100, GFAP, transthyretin,CD99, PCK, CK7, EMA, podoplanin, Kir7.1
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阴性:SOX2, caveolin, NeuN, CEA, ER, Ber-Ep4, TTF-1, CK20
神经元肿瘤、胶质神经元混合性肿瘤
1. 婴儿促纤维增生性星形细胞瘤婴儿促纤维增生性节细胞胶质瘤(WHO I)
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阳性:GFAP, S-100, Syn, NF
2. 胚胎发育不良性神经上皮肿瘤
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阳性:S-100, GFAP, Syn, NF
3. 神经节细胞胶质瘤(WHO I或III)和神经节细胞瘤(WHO I)
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阳性:S-100, GFAP, CD34, SOX2, Syn, NF, MAP2, NeuN
4. 小脑发育不良性神经节细胞瘤(WHO I)
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阳性:S-100, Syn, NF, p-AKT, p-S6, Leu-4, L7, PEP19, calbindin
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阴性:PTEN
5. 乳头状胶质神经元肿瘤(WHO I)
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阳性:Syn, NSE, CD56, β-tubulin, NeuN, NF, GFAP, Oligo-2
6. 第四脑室伴有菊形团形成的胶质神经元肿瘤(WHO I)
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阳性:Syn, NSE, MAP2, GFAP, S-100
7. 中枢神经细胞瘤(WHO II)和脑室外神经细胞瘤
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阳性:Syn, NeuN
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阴性:GFAP, NF, CgA
8. 小脑脂肪神经细胞瘤(WHO II)和脑室外神经细胞瘤
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阳性:NSE, MAP2, Syn, GFAP, NeuN
松果体区肿瘤
1. 松果体细胞瘤(WHO I)
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阳性:Retinal S-antigen, Syn, NSE, NF, β-tubulin(Class III), tau, PGP9.5, CgA
2. 中等分化的松果体实质肿瘤(WHO II)
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阳性:Syn, NSE, NF, Retinal S-antigen, CgA
3. 松果体母细胞瘤(WHO III)
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阳性:Syn, NSE, NF, β-tubulin(Class III), CgA, Retinal S-antigen
4. 松果体区乳头状肿瘤(WHO II/III)
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阳性:PCK, CAM5.2, CK18, vimentin, S-100, NSE, MAP2, NCAM, transthyretin, GFAP, EMA
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阴性:NF
胚胎性肿瘤
1. 髓母细胞瘤
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阳性:神经细胞标志(Syn, NSE, NeuN, NF, β-tubulin), GFAP, PCK, EMA
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阴性:CD99, SOX2
2. 中枢神经系统的原始神经外胚叶瘤(WHO IV)
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阳性:Syn, NSE, NeuN, NF, β-tubulin, vimentin, GFAP
3. 髓上皮瘤(WHO IV)
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阳性:nestin, vimentin, CK, EMA, NF, Syn, β-tubulin, GFAP
4. 室管膜母细胞瘤(WHO IV)
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阳性:S-100,vimentin
5. 不典型畸胎样或横纹肌样瘤(WHO IV)
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阳性:GFAP, S-100, Syn, NF, vimentin, SMA, EMA
脑膜肿瘤
1. 间变型脑膜瘤(WHO II)
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阳性:vimentin, claudin 1, PCK, CK7, CK19, CAM5.2, S-100, EMA
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阴性:CD34, GFAP
2. 脑膜黑色素细胞瘤、弥漫性黑色素细胞增生和恶性黑色素瘤
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阳性:S-100, Melan-A
生殖细胞肿瘤
1. 生殖细胞瘤
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阳性:PLAP, CD117, OCT-4; 若有合体滋养叶细胞样成分, 可呈β-HCG, h-PL, CK
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阴性:CD30, AFP
2. 胚胎癌
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阳性:CK, PLAP, CD30, OCT-4
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阴性CD117, AFP, EMA
3. 卵黄囊瘤或内胚窦瘤
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阳性:AFP, CK
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阴性:CD117, OCT-4, β-HCG, h-PL, CD30
4. 绒毛膜癌
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阳性:β-HCG, h-PL, CK
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阴性:CD117, OCT-4, CD30, AFP
鞍区肿瘤
1. 腺垂体梭形细胞嗜酸细胞瘤(WHO I)
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阳性:vimentin, EMA, S-100, Galectin-3
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阴性: CK, GFAP, Syn, CgA, SMA, desmin, CD34
2. 神经垂体细胞瘤(WHO I)
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阳性:S-100, GFAP
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阴性:CK, Syn, CgA
3. 神经垂体颗粒细胞瘤(WHO I)
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阳性:S-100
4. 颅咽管瘤(WHO I)
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阳性:PCK, HCK, LCK, P63, CK7, β-catenin
其他肿瘤
1. 脊索瘤
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阳性:PCK, EMA, S-100
2. 内淋巴囊瘤
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阳性:PCK, EMA
3. 嗅神经母细胞瘤
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阳性:Syn, NF, MAP2, S-100
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阴性:CD99
4. 小脑血管母细胞瘤
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阳性:间质细胞呈S-100, NSE, CD56, vimentin, Inhibin-α, D2-40
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阴性:EMA, CD10, CAM5.2, RCC