JaLCDOI 10.18926/AMO/32178
フルテキストURL fulltext.pdf
著者 Sacho, Masanori| Setsu, Koujun| Hayashi, Keiki|
抄録 <p>Hematoxylin and eosin (H-E) stained liver sections of 47 autopsy cases of hepatic malignancies were examined. There were 43 cases of hepatocellular carcinoma (subtypes of 30 trabecular, 7 solid, 5 pseudoglandular, and one scirrhous carcinoma), 3 of cholangiocellular carcinoma and one of mixed carcinoma. After immunohistochemical staining, benign hepatocytes reacted positively with anti-epithelial membrane antigen (EMA). Hepatocellular carcinoma cells reacted more weakly than benign hepatocytes. It was noted that the microtubular structure, which could not be demonstrated even by alcian blue or cationic ferric hydroxide colloid stabilized with cacodylate (Fe-CaC), was clearly detected with anti-EMA. The EMA-positive microtubular structures may indicate terminal cholangiolar differentiation. Based on EMA, seven more cases formerly classified as hepatocellular carcinoma by H-E were reclassified as mixed carcinoma, totaling eight (17.0%). The histologic classification of &#34;mixed carcinoma&#34; has been 1.5 to 2.0% of primary liver cancers in Japan, but we suggest there may be more cases of &#34;mixed carcinoma&#34; identified in the future. In conclusion, we emphasize that EMA staining is useful for more accurate classification of hepatic tumors.</p>
キーワード primary liver carcinoma immunohistochemistry histochemistory epithelial membrane antigen
Amo Type Article
発行日 1991-12
出版物タイトル Acta Medica Okayama
45巻
6号
出版者 Okayama University Medical School
開始ページ 423
終了ページ 432
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 English
論文のバージョン publisher
査読 有り
PubMed ID 1723562
Web of Sience KeyUT A1991GX45300004