새로운 World Health Organization 분류에 의해 재분류한 흉선상피종의 면역조직화학적 발현 분석
Immunophenotype of Thymic Epithelial Tumors According to the New World Health Organization Classification
박성혜, 김한성, 김한겸, 신봉경, 홍승모, 노재윤,
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박성혜 ( Park Sung-Hye )
인제대학교 의과대학 일산백병원 병리과
김한성 ( Kim Han-Seong )
인제대학교 의과대학 일산백병원 병리과
김한겸 ( Kim Han-Kyeom )
고려대학교 의과대학 안암병원 병리과
신봉경 ( Shin Bong-Kyung )
고려대학교 의과대학 안암병원 병리과
홍승모 ( Hong Seung-Mo )
울산대학교 의과대학 서울중앙병원 병리학교실
노재윤 ( Ro Jae Y. )
울산대학교 의과대학 서울중앙병원 병리학교실
KMID : 0357920010350040278
Abstract
Background: To identify the expression patterns and usefulness of various antibodies in making diagnoses and predicting prognoses, an immunohistochemical study was performed on thymic epithelial tumors (TETs).
Methods: Forty-two cases of TETs were reclassified according to the new World Health Organization (WHO) classifications. CD3, CD5, CD79a, CD99, pan-, high- and low-molecular weight cytokeratins, EMA, vimentin, MIB-1 (Ki67) and p53 immunostaining were carried out.
Results: There were two, twelve, eight, two, thirteen and one case for type A, AB, B1, B2, B3 and C, respectively. Combined B1/B2 and B2/B3 were 2 cases each. Fourteen cases (33.3%) had myasthenia gravis. CD99 was immunoreactive mainly in cortically derived lymphocytes, while CD3 and CD5 were immunoreactive in medullary-derived lymphocytes. CD5 immunoreactivity was negative in all thymic epithelial cells, except for one case of type B3. MIB-1 indices were highly expressed in cortical lymphocytes and some thymic epithelial cells, but did not show any correlation with grades. p53 in thymic epithelial cells was expressed in 6 (46%) out of 13 cases of type B3 and one case of type C, and it was negative in all other subtypes.
Conclusions: Only p53 was helpful for predicting high grades (B3 and C) (p<0.05). By MIB-1 indices, we could tell how many cortical immature lymphocytes were occupied in TETs, however, grading could not be achieved.
키워드
Thymus gland;Neoplasms;Immunohistochemistry;World Health Organization;Histological classification
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