艾滋病相关卡波西肉瘤32例尸检材料病理学研究  

Pathological study of AIDS related Kaposi's sarcoma in 32 autopsy cases

作　　者：刘德纯[1] 林清森[1] 

机构地区：[1]美国纽约MountSinai医学中心病理系

出　　处：《蚌埠医学院学报》1997年第3期146-148,共3页Journal of Bengbu Medical College

摘　　要：目的：概况艾滋病相关卡波西肉瘤（ＫＳ）病理特征，并探讨其病理学分型、来源与性质。方法：所有病例均按常规尸检及制片，光镜观察，并复习临床资料。结果：ＫＳ累及皮肤２３例，呼吸系统２０例，消化道１７例，淋巴结１２例，２６例为播散性。肿瘤肉眼表现为斑块型和结节型，镜下主要由增生的血管和梭形细胞构成，并常见胶原分裂、淋巴管扩张、嗜酸性小体、炎细胞浸润、出血及含铁血黄素沉积等特征性病变。结论：ＫＳ是一种颇具特征的病变，常同时播散至多个部位或器官，来自内皮细胞增生。诊断依据其典型的病理和临床表现。Objective:The aim was to outline the pathological features of AIDS related Kaposi's sarcoma(KS) and research its histological typing,origin and nature.Methods:All cases were autopsied as usual and the sections were made routinely and observed microscopically.The clinical data were reviewed.Results:KS involved skin in 23 cases,repiratory system in 20 cases,alimentary tract in 17 cases and lymph nodes in 12 cases.The lesions were disseminated in 26 cases.The neoplasm manifested grossly as plaque and nodular patterns,which consisted mainly of proliferating vasalium and spindle cells microscopically.The lesions including dissection of collagen,lymphectasia,eosinophilic bodies,inflammatory infiltration,hemorrhage and hemosiderin deposition were often found typically.Conclusions:KS is a quite special lesion which often disseminate to several sites or organs simultaneously and derive from proliferating endothelium.The diagnosis can be made based on its typic pathological and clinical manifestations.

关 键 词：艾滋病 卡波西肉瘤 尸检 病理学 

分 类 号：R512.910.2[医药卫生—内科学]