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本文对83例前列腺癌(Prostate carcinoma,PC)的临床病理资料作了回顾性分析并作了PSA标记。根据Dhom分类对本组PC进行了归类,发现常见癌66例(79.5％),少见癌14例(16.9％),不能归入Dhom分类的癌3例(3.6％)。常见癌中的单一结构癌41例(49.4％),混合结构癌25例(30.1％)。不同类型和不同分化的PC对PSA反应强度差异明显,其中高分化腺癌、筛状癌和类癌显强阳性;低分化腺癌、几乎全部混合结构癌及少见癌显阳性及/或弱阳性;未分化癌和小细胞癌显极弱阳性;鳞癌阴性。本文还对目前国内外常用的几组PC之病理分类进行了比较分析与讨论。
In this paper, 83 cases of prostate cancer (Prostate carcinoma, PC) clinical and pathological data were retrospectively analyzed and made PSA markers. According to Dhom classification, we classified the group of PC into sixty-six cases (79.5%), rare cases (16.9%), and three cases (3.6%) that can not be classified as Dhom classification. 41 cases (49.4%) had single structure cancer and 25 cases (30.1%) had mixed structure cancer. Differences in response to PSA between different types and differentiated PCs were significant, with well-differentiated adenocarcinoma, carcinoma of the screen and carcinoids strongly positive; poorly differentiated adenocarcinoma, with almost all mixed cancers and rare cancers were positive and / or weakly positive ; Undifferentiated carcinoma and small cell carcinoma was extremely weak positive; squamous cell carcinoma was negative. This article also made a comparative analysis and discussion on the pathological classification of several groups of PC currently used at home and abroad.