四肢淋巴管瘤

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教你看懂病理免疫组化报告单淋巴造血系统 [复制链接]

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淋巴造血系统肿瘤1.慢性淋巴细胞白血病或小淋巴细胞淋巴瘤阳性:CD20,CD43,CD23,CD5阴性:CD3,CD,CyclinD1,CD10,FMC7,CD79b2.套细胞淋巴瘤阳性:CD20,CD5,CD43,FMC7,CyclinD1,Bcl-2阴性:CD3,CD10,Bcl-6,CD.套细胞淋巴瘤,母细胞型阳性:CD20,CD5,CD43,CyclinD1,Bcl-2阴性:CD3,CD10,CD.套细胞淋巴瘤,多形型阳性:CD20,CD5,CD43,CyclinD1,Bcl-2阴性:CD3,CD10,CD23,Bcl-6,MUM-15.滤泡淋巴瘤阳性:CD20,Bcl-2,CD10,Bcl-6阴性:CD3,CD5,CD.结外边缘区黏膜相关淋巴组织淋巴瘤阳性:CD20,CD79a,IgM,CD11c阴性:CD3,CD5,CD10,CD23,CD.结内边缘区淋巴瘤阳性:CD20,IgM,CD11c阴性:CD3,CD5,CD10,CD23,CD.淋巴浆细胞性淋巴瘤阳性:CD20,CD25,CD38,IgM,IgG阴性:CD3,CD5,CD10,CD,CD23,IgD9.毛细胞白血病阳性:CD20,CD11c,CD,CD25,CD,T-bet,Annexin,A1(ANXA1),CD72,FMC7,Cyclin1阴性:CD3,CD10,CD.Burkitt淋巴瘤阳性:CD20,CD10,Bcl-6阴性:CD3,CD5,Bcl-.弥漫大B细胞淋巴瘤,非特指阳性:CD20/CD79a12.富于T细胞/组织细胞的弥漫大B细胞淋巴瘤阳性:CD20/CD79a,Bcl-6,少部分病例Bcl-2,EMA阴性:CD3,CD15,CD30,CD,EBV13.原发中枢神经系统的弥漫大B细胞淋巴瘤阳性:CD20,CD22,CD79a,MUM1(90%),CD10(10%-20%),Bcl-6(60%-80%)阴性:CD3,GFAP14.原发皮肤的弥漫大B细胞淋巴瘤,腿型阳性:CD20,CD79a,Bcl-2,Bcl-6,MUM1,FOX-P1阴性:CD3,CD.老年性EBV+的弥漫大B细胞淋巴瘤阳性:CD20,CD79a,MUM1,LMP-1,EBER-ISH阴性:CD3,CD10,Bcl-6,CD.慢性炎症相关弥漫大B细胞淋巴瘤阳性:CD20/CD79a,CD30,多数病例呈EBER+阴性:CD.原发纵隔(胸腺)大B细胞淋巴瘤阳性:CD20,CD79a,CD30(80%),CD23(70%),EBV。部分表达:Bcl-2,Bcl-6(45%-%),CD10(8%-32%)阴性:CD3,CD15,EBV18.血管内大B细胞淋巴瘤阳性:CD20,MUM1阴性:CD3,CD29,CD.ALK阳性大B细胞淋巴瘤阳性:CD20,ALK,EMA,IgA,CD4,CD57,MUM1阴性:CD3,CD30,CD.浆母细胞淋巴瘤阳性:CD79a,CD/CD38/Vs38c,MUM1,EMA,CD30,IgG,EBER-ISH阴性:CD3,LMP.起源于HHV8相关多中心Castleman病的大B细胞淋巴瘤表型CD20+/-,CD79a-,CD-,CD38-/+阴性:CD3,LANA1,CD27,EBER-ISH22.原发渗出性淋巴瘤阳性:CD45,HLA-DR,CD30,CD38,CD,VS38,EMACD19,CD20,CD79a,CD3,Bcl-6,EBV,LMP.未确定类别的,介于DLBCL与经典霍奇金淋巴瘤之间的B细胞淋巴瘤阳性:CD45,CD20/CD79a/PAX5,CD30,CD15,OCT-2,BOB.1阴性:CD3,c(s)Ig,CD10,ALK,Bcl-6表达不定24.未确定类别的,介于DLBCL与Burkitt淋巴瘤之间的B细胞淋巴瘤阳性:CD19/CD20/CD79a,CD10,Bcl-6,Bcl-2,MUM-或弱阳性Ki-67指数50%-%25.淋巴瘤样肉芽肿阳性:CD20,CD30-/+,LMP-/+,EBER-ISH阴性:CD3,CD15,CD56,Cytotoxicproteins(granzymeB,perforinTIA1)26.结外NK/T细胞淋巴瘤,鼻型阳性:CD3ε,CD56,Cytotoxicproteins(granzymeB,perforinTIA1),EBER,部分抗体表达CD30阴性:CD20,TCRβF1;少数病例表达CD3Ki-%27.侵袭新NK细胞白血病阳性:CD3ε,CD56,CD16,Cytotoxicproteins(granzymeB,perforinTIA1),EBER阴性:CD20,CD3,TCRβF1,MPO,TdT28.皮下脂膜炎样T细胞淋巴瘤阳性:CD3,CD3ε,CD8,Cytotoxicproteins(granzymeB,perforinTIA1),βF1阴性:CD20,CD4,CD.肠病型T细胞淋巴瘤阳性:CD8,CD3,CD56+/-,Cytotoxicproteins(granzymeB,perforinTIA1)阴性:CD20,CD3,βF1,EBER-ISH30.ALK+间变大细胞淋巴瘤阳性:CD3-/+,CD30,ALK-1,Cytotoxicproteins(granzymeB,perforinTIA1),EMA(45%-60%)阴性:CD.ALK-间变大细胞淋巴瘤阳性:CD3,CD30,Cytotoxicproteins(granzymeB,perforinTIA1),EMA(45%-60%)阴性:CD20,ALK-.血管免疫母细胞性T细胞淋巴瘤阳性:CD3,CD4,CD10,CXCL13,Bcl-6;淋巴滤泡外不规则分布的树突状细胞网呈CD21阳性阴性:CD.母细胞性浆细胞样树突细胞肿瘤,母细胞NK细胞淋巴瘤阳性:CD4,CD56,CD43,CD68Kp1,CD;呈部分表达的抗体有TdT,CD68KP(50%)阴性:CD20,CD3,CD8,CD30,granzymeB34.肝脾T细胞淋巴瘤阳性:CD3,TIA1,CD56+/-,CD8-/+阴性:CD20,CD4,CD30,TCRβF1,granzymeB,perforin,EBER35.外周T细胞淋巴瘤,非特指阳性:CD3,CD4,CD8,CD5-/+,CD7-/+阴性:CD20,EBER;不见CD21阳性的FDC36.成人T细胞白血病或淋巴瘤表型:CD25+,CD3+,CD5+,CD7-,CD4+/CD8-(多数),CD4-/CD8+或CD4+/CD8+,EBER-ISH-37.淋巴母细胞白血病或淋巴瘤阳性:TdT,CD99,对于T淋巴母细胞肿瘤:CD3+/-,CD3ε+/-,对于B淋巴母细胞肿瘤:CD20-/+,PAX5+/-阴性:MPO38.蕈样霉菌病或Sezary综合征阳性:CD2,CD3,CD5,CD4,TCRβF1阴性:CD20,CD56,CD8(绝对多数),CD7(绝对多数),CD30,Cytotoxicproteins(granzymeB,perforinTIA1),EBER-ISH39.原发皮肤CD30阳性的T细胞性淋巴增生性疾病阳性:CD30,CD3,TCRβF1阴性:CD20,CD56,CGP,EMA,ALK-.经典型霍奇金淋巴瘤阳性:CD30,CD15,EBV,CD20+/-阴性:CD3,CD.结节性淋巴细胞为主型霍奇金淋巴瘤阳性:CD20,CD30-/+,CD45阴性:CD3,CD15,EBV42.粒细胞肉瘤阳性:MPO,CD68KP1,CD,CD45,CD99阴性:CD68PG-M1,少数可表达TdT,CD34,CD.单核母细胞肉瘤阳性:CD68KP1,CD68PG-M1,CD45,CD99阴性:MPO,少数病例可表达TdT,CD.滤泡树突状细胞肉瘤阳性:CD21,CD23,CD35,CD68KP1+/-,S--/+,CD45+/-阴性:CD1a,Langerin,Ki-67阳性率不定(1%-25%)45.指状树突细胞肉瘤阳性:S-,可部分表达CD45,CD68KP1,lysozyme阴性:CD21,CD35,CD1a,Langerin,MPO46.Langerhans细胞组织细胞增生症阳性:S-,CD1a,Langerin,CD68KP1,部分病例:CD68KP1,少数病例:CD45,lysozyme阴性:CD21/CD.肥大细胞增生症阳性:Traptase,CD,CD45,CD68KP1阴性:S-,CD21/CD23/CD35,MPO,TdT,CD68PG-M1

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