纖維母細(xì)胞和肌纖維母細(xì)胞性腫瘤 1.結(jié)節(jié)性筋膜炎 陽性:α-SMA,MSA,calponin,CD68(KP-1),vimentin 陰性:desmin,h-caldesmon,CD34,β-catenin 2.增生性筋膜炎和增生性肌炎 陽性:α-SMA,MSA,calponin,CD68(KP-1),vimentin 陰性:desmin,h-caldesmon,CD34,β-catenin,AE1/AE3,S-100 3.骨化性肌炎和指趾纖維骨性假瘤 陽性:α-SMA,MSA,vimentin,osteocalcin 陰性;h-caldesmon,CD34,β-catenin,AE1/AE3,S-100 4.缺血性筋膜炎 陽性:α-SMA,MSA,vimentin,CD68,CD34 陰性:h-caldesmon,desmin 5.器官相關(guān)性假肉瘤樣肌纖維母細(xì)胞增生 陽性:AE1/AE3,vimentin,α-SMA,MSA,desmin,ALK(50%) 陰性:h-caldesmon,myogenin,MyoD1,S-100 6.彈力纖維瘤 陽性:elastin 7.嬰幼兒纖維性錯構(gòu)瘤 陽性:vimentin,α-SMA,MSA,S-100,CD34 陰性:desmin,h-caldesmon 8.肌纖維瘤或肌纖維瘤病 陽性:α-SMA,MSA,vimentin 陰性:h-caldesmon,desmin,S-100,AE1/AE3,EMA 9.頸纖維瘤病 陽性:α-SMA,MSA,vimentin 陰性:h-caldesmon,desmin,S-100,AE1/AE3 10.嬰幼兒玻璃樣變纖維瘤病 陽性:vimentin 陰性:α-SMA,MSA,h-caldesmon,desmin,S-100,AE1/AE3 11.嬰幼兒指趾纖維瘤病(包涵體性纖維瘤病) 陽性:α-SMA,MSA,vimentin 陰性:h-caldesmon,myogenin,S-100 12.腱鞘纖維瘤 陽性:vimentin,α-SMA,MSA,CD68 陰性:desmin 13.促結(jié)締組織增生性纖維母細(xì)胞瘤(膠原性纖維瘤) 陽性:vimentin,α-SMA,MSA 陰性:desmin,CD34,S-100 14.乳腺型肌纖維母細(xì)胞瘤 陽性:desmin,CD34,α-SMA 陰性:h-caldesmon 15.鈣化性腱膜纖維瘤 陽性:vimentin,α-SMA,MSA,CD99,S-100 陰性:AE1/AE3,desmin 16.血管肌纖維母細(xì)胞瘤 陽性:desmin,α-SMA,MSA,ER,PR,FGF,VEGF 陰性:h-caldesmon,Myogenin,AE1/AE3,S-100 17.富于細(xì)胞性血管纖維瘤 陽性:vimentin,CD34,ER,PR 陰性:h-caldesmon,myogenin,AE1/AE3,S-100 18.宮頸陰道淺表性肌纖維母細(xì)胞瘤 陽性:desmin,CD34,ER,PR,α-SMA,MSA 陰性:h-caldesmon,AE1/AE3 19.淋巴結(jié)內(nèi)柵欄狀肌纖維母細(xì)胞瘤 陽性:α-SMA,cyclinD1 陰性:desmin,CD34,S-100,HMB45,GFAP 20.項(xiàng)型纖維瘤和Gardner纖維瘤 陽性:vimentin,CD34,CD99,β-catenin 陰性:α-SMA,desmin,S-100 21.鈣化性纖維性腫瘤 陽性:vimentin,FXIIIa 陰性:α-SMA,desmin,CD34,AE1/AE3,ALK,S-100 22.巨細(xì)胞血管纖維瘤 陽性:CD34,CD99,Bcl-2,vimentin 陰性:α-SMA,desmin,AE1/AE3,S-100 23.掌和跖纖維瘤病 陽性:α-SMA,MSA,β-catenin,desmin,vimentin,lamina,fibronectin,TGF-β,PDGF,FGF 陰性:h-caldesmon 24.韌帶樣瘤型纖維瘤病 陽性:α-SMA,MSA,β-catenin,desmin,vimentin 陰性:h-caldesmon,CD117,DOG1 25.孤立性纖維性腫瘤 陽性:CD34,Bcl-2,CD99,EMA(30%),α-SMA(20%),MSA 陰性:desmin,AE1/AE3,S-100 26.炎性肌纖維母細(xì)胞瘤 陽性:α-SMA,MSA,desmin,CD68(KP-1),ALK(50%),vimentin 陰性:CD34,CD117,h-caldesmon,myogenin,S-100 27.肌纖維母細(xì)胞肉瘤 陽性:α-SMA,MSA,desmin,calponin,vimentin 陰性:h-caldesmon,myogenin 28.黏液炎性纖維母細(xì)胞性肉瘤 陽性:vimentin,CD34 陰性:desmin,actins,S-100,AE1/AE3,EMA,CD30 29.嬰幼兒型纖維肉瘤 陽性:vimentin,α-SMA(33%),MSA(29%) 陰性:AE1/AE3,CAM5.2,EMA,desmin,myogenin,S-100 30.成年型纖維肉瘤 陽性:vimentin,α-SMA,MSA 陰性:desmin,S-100,AE1/AE3 31.黏液纖維肉瘤 陽性:vimentin,α-SMA,MSA 陰性:desmin,S-100,AE1/AE3,CD68 32.低度惡性纖維黏液樣肉瘤 陽性:vimentin,α-SMA,MSA 陰性:desmin,CD34,S-100,AE1/AE3 33.硬化性上皮樣纖維肉瘤 陽性:vimentin,EMA 陰性:desmin,CD34,α-SMA,MSA,CD68 纖維組織細(xì)胞性腫瘤 1.良性纖維組織細(xì)胞瘤 陽性:FXIIIa,KP-1,α-SMA 陰性:CD34,ApoD 2.幼年性黃色肉芽腫 陽性:CD68(KP-1/PGM1),HAM-56,FXIIIa,CD4,α1-AT,α1-ACT,lysozyme 陰性:S-100,CD1a 3.網(wǎng)狀組織細(xì)胞瘤 陽性:CD68(KP-1/PGM1),HAM-56,α1-AT,α1-ACT,lysozyme,MSA 陰性:S-100,HMB45 4.黃色瘤 陽性:CD68(KP-1),lysozyme,Mac387 陰性:S-100 5.腱鞘巨細(xì)胞瘤 陽性:CD68,MSA,desmin(50%),TRAP 陰性:CD34,AE1/AE3,S-100 6.非典型性纖維黃色瘤 陽性:LN-2(CD74),CD10,α-SMA,MSA,calponin,CD163 陰性:S-100,HMB45,AE1/AE3,h-caldesmon 7.隆突性皮纖維肉瘤和巨細(xì)胞纖維母細(xì)胞瘤 陽性:CD34,ApoD 陰性FXIIIa,S-100 8.血管瘤樣纖維組織細(xì)胞瘤 陽性:CD68(KP-1),desmin,CD99,MSA,α-SMA,calponin,h-caldesmon,EMA 陰性:CD31,CD34,S-100,HMB45,AE1/AE3,CAM5.2 9.叢狀纖維組織細(xì)胞瘤 陽性:CD68(KP-1),α-SMA,TRAP 陰性:HLA-DR,lysozyme,L-2,S-100,AE1/AE3,desmin,FXIIIa 10.軟組織巨細(xì)胞瘤 陽性:CD68,α-SMA,TRAP 陰性:CD45,S-100,desmin,lysozyme 11.惡性纖維組織細(xì)胞瘤或多形性未分化肉瘤 陽性:無特異性的標(biāo)志物,偶灶狀表達(dá)AE1/AE3,S-100,desmin,α-SMA 脂肪組織腫瘤 1.脂肪瘤 陽性:S-100,leptin,vimentin 2.肌脂肪瘤 陽性:S-100,α-SMA,desmin 3.軟骨樣脂肪瘤 陽性:S-100,vimentin 4.梭形細(xì)胞脂肪瘤、多形性脂肪瘤和樹突狀纖維黏液脂肪瘤 陽性:S-100,CD34,vimentin 5.棕色脂肪瘤 陽性:S-100,CD34 6.非典型性脂肪瘤樣腫瘤或分化良好的脂肪肉瘤 陽性:S-100,MDM2,CDK4 陰性:HMB45,PNL2 7.脂肪平滑肌肉瘤 陽性:S-100,α-SMA,MSA,desmin,h-caldesmon 陰性:HMB45,PNL2 8.去分化脂肪肉瘤 陽性:S-100,MDM2,CDK4 9.黏液性脂肪肉瘤和圓細(xì)胞性脂肪肉瘤 陽性:S-100 10.多形性脂肪肉瘤 陽性:S-100,EMA 平滑肌腫瘤 1.平滑肌瘤 陽性:α-SMA,MSA,h-caldesmon,desmin,calponin 陰性:CD34,HMB45,S-100 2.血管平滑肌瘤 陽性:α-SMA,MSA,h-caldesmon,desmin,calponin,S-100 陰性:CD34,HMB45 3.深部平滑肌瘤 陽性:α-SMA,MSA,h-caldesmon,desmin,calponin,ER,PR 陰性:CD34,HMB45,S-100 4.平滑肌肉瘤 陽性:α-SMA,MSA,h-caldesmon,desmin,calponin 陰性:myogenin,MyoD1,CD117 血管周細(xì)胞腫瘤 1.血管球瘤 陽性:α-SMA,MSA,h-caldesmon,calponin,IV型膠原 陰性:CD34,desmin,AE1/AE3,S-100 2.球周皮細(xì)胞瘤(鼻竇血管外皮瘤樣腫瘤) 陽性:α-SMA,MSA,FXIIIa,laminin 陰性:CD34,CD99,desmin 3.肌周皮細(xì)胞瘤 陽性:α-SMA,desmin,CD34 陰性:AE1/AE3,S-100 橫紋肌腫瘤 1.橫紋肌瘤 陽性:desmin,MSA,myoglobin,S-100 陰性:CD68,AE1/AE3 2.橫紋肌肉瘤 陽性:desmin,MSA,myogenin,MyoD1 陰性:h-caldesmon,CD34,S-100 胃腸道間質(zhì)瘤 陽性:CD117,CD34,DOG1.1,PDGFRA,nestin,h-caldesmon,α-SMA 陰性:desmin 血管腫瘤 1.上皮樣血管瘤 陽性:CD31,F8,CD34,α-SMA,MSA 2.梭形細(xì)胞血管瘤 陽性:vimentin 3.上皮樣血管內(nèi)皮瘤 陽性:CD31,CD34,FLI1,F8,AE1/AE3 4.卡波西型血管內(nèi)皮瘤 陽性:CD34,CD31,VEGFR-3,D2-40,α-SMA 陰性:F8,HHV8 5.血管內(nèi)乳頭狀血管內(nèi)皮瘤(Dabska瘤)和網(wǎng)狀血管內(nèi)皮瘤 陽性:CD31,CD34,D2-40,VEGFR-3 6.卡波西肉瘤 陽性:CD31,CD34,D2-40,VEGFR-3,FLI1,LNA-1 陰性:F8 7.血管肉瘤 陽性:CD31,CD34,F8,UEA-1,CK 陰性:HHV-8 血管周上皮樣腫瘤 陽性:HMB45,PNL2,Melan-A(A103),α-SMA,MiTF,CD117,ER,PR 陰性:S-100,desmin 間皮瘤 陽性:CK5/6,Calretinin,WT-1,D2-40 陰性:CEA,BerEP4,MOC-31,B72.3,BG8,PAX8 周圍神經(jīng)腫瘤 1.神經(jīng)鞘瘤 陽性:S-100,Leu7,GFAP,NSE,PGP9.5 2.神經(jīng)纖維瘤 陽性:S-100,vimentin,CD34 3.神經(jīng)鞘黏液瘤 陽性:S-100,S-100a6,NKI-C3 4.神經(jīng)束膜瘤 陽性:EMA,claudin-1 陰性:S-100 5.顆粒細(xì)胞瘤 陽性:S-100,NSE,KP-1 陰性:CD163 6.惡性周圍神經(jīng)鞘膜瘤 陽性:S-100,Leu7 7.軟組織透明細(xì)胞肉瘤 陽性:S-100,HMB45,PNL2,NSE,Bcl-2 陰性:AE1/AE3,calponin 神經(jīng)外胚層瘤 1.神經(jīng)母細(xì)胞瘤 陽性:NSE,Leu7,PGP9.5 陰性:CD99 2.節(jié)細(xì)胞神經(jīng)母細(xì)胞瘤和節(jié)細(xì)胞神經(jīng)瘤 陽性:NSE,S-100 3.骨外尤文肉瘤或外周原始神經(jīng)外胚層瘤 陽性:CD99,vimentin,FLI1,CgA,Syn,NSE 陰性:myogenin 副神經(jīng)節(jié)瘤 陽性:CgA,Syn,NSE,CD56,S-100 陰性:AE1/AE3,TFE3,MyoD1 軟組織良性或低度惡性腫瘤 1.肌內(nèi)黏液瘤和關(guān)節(jié)旁黏液瘤 陽性:vimentin 陰性:S-100 2.深部“侵襲性”血管黏液瘤 陽性:desmin,ER,PR,α-SMA,MSA 陰性:S-100 3.軟組織混合瘤、肌上皮瘤和副脊索瘤 陽性:AE1/AE3,vimentin,S-100,GFAP,actins,desmin,EMA 4.軟組織骨化性纖維黏液樣腫瘤 陽性:S-100,NSE,vimentin, desmin,Leu 7 5.軟組織多形性血管擴(kuò)張性腫瘤 陽性:vimentin,CD34 陰性:S-100,desmin,actin,AE1/AE3,CD31 6.異位錯構(gòu)瘤性胸腺瘤 陽性:AE1/AE3,CK5,CK6,CK10,CK13,CK7,CK8,CK18,CD10,CD34,α-SMA 陰性:CK20,CD5,TTF-1,desmin 軟組織雜類惡性腫瘤 1.滑膜肉瘤 陽性:AE1/AE3,CAM5.2,EMA,CK7,CK19,Bcl-2,Calponin,CD99,TLE1,vimentin 陰性:CD34,desmin 2.腺泡狀軟組織肉瘤 陽性:TFE3,MyoD1,MSA,desmin 陰性:CgA,Syn,NSE,AE1/AE3 3.上皮樣肉瘤 陽性:AE1/AE3,CAM5.2,EMA,vimentin,CD34,actins 陰性:CD31 4.腎外惡性橫紋肌樣瘤 陽性:AE1/AE3,CAM5.2,vimentin 陰性:INI1 5.促結(jié)締組織增生性小圓細(xì)胞腫瘤 陽性:desmin,vimentin,AE1/AE3,NSE,Leu 7 陰性:myogenin |
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