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对该组病变的主要组织学类型及其增殖细胞核抗原(PCNA)的表达进行了研究。本组病例,胆固醇息肉发生率占59.4%,腺瘤占21.9%,炎性息肉占9.4%,腺癌占9.4%。22例息肉的PCNA免疫组化染色均为阴性,3例腺癌均呈PCNA核阳性染色反应,7例腺瘤中,1例瘤组织中出现上皮灶性不典型增生改变,其核呈阳性染色,其余6例均呈PCNA核阴性反应。结果提示:此类腺瘤有潜在恶性可能;PCNA表达可以作为腺瘤恶变及腺癌辅助诊断指标。
The main histological types and the expression of proliferating cell nuclear antigen (PCNA) in this group of lesions were studied. This group of patients, the incidence of cholesterol polyps accounted for 59.4%, 21.9% of adenomas, inflammatory polyps 9.4%, adenocarcinoma accounted for 9.4%. The PCNA immunohistochemical staining of 22 cases of polyps was negative, and all three cases of adenocarcinoma showed positive staining of PCNA. In 7 cases of adenoma, epithelial focal dysplasia appeared in 1 case of tumor and the nucleus was positive , The remaining 6 cases were PCNA nuclear negative reaction. The results suggest that: this kind of adenoma has potential malignancy; PCNA expression can be used as adenoma malignant and auxiliary diagnosis of adenocarcinoma.