14例Kaposi肉瘤临床与病理分析  

Clinicopathologic analysis of 15 cases of Kaposis sarcoma

作　　者：王振华[1,2] 昌红[1,2] 迪里努尔[1,2] 柴敏秀[1,2] 

机构地区：[1]新疆医学院附属肿瘤医院病理科 [2]北京铁路总医院病理科

出　　处：《临床与实验病理学杂志》1997年第2期143-144,I014,共3页Chinese Journal of Clinical and Experimental Pathology

摘　　要：目的：为了提高对Ｋａｐｏｓｉ肉瘤临床病理特征的认识，减少误诊和漏诊。方法：对１４例Ｋａｐｏｓｉ肉瘤进行了光镜观察。结果：病变主要发生在皮肤，呈多发性，最常累及四肢远端。病变由血管裂隙、肉瘤样间质、血管外红细胞溢出及含铁血黄素沉着所构成。结论：在同一病变中存在裂隙状血管、肉瘤样梭形细胞增生及血管外红细胞溢出与含铁血共素沉着是早期诊断及与纤维母细胞性病变和其他血管源性肿瘤区别的关键。Purpose To improve ones knowledge of clinicopathologic characteristics of Kaposis sarcoma so as to decrease misdiagnosis and lostdiagnosis. Methods 14 cases of Kaposis sarcoma were investigated at the light microscopic level. Results The lesions occurred chiefly in the skin, appearing as multiple, and more frequent in the distal portions of the extremities. The lesions were composed of clusters of vascular slits, sarcomatous like stroma, extravasated erythrocytes, and deposits of hemosiderin. Conclusions The presence of vascular slits having large transuding endoepithelial cells, sarcomatous like spindle shaped cells, extravasated erythrocytes and hemosiderin in the same locus, is not only the key to diagnosing early Kaposis sarcoma but also differentiating it from fibroblastic lesions or vascular tumors.

关 键 词：KAPOSI肉瘤 病理 肉瘤 出血性 

分 类 号：R730.269[医药卫生—肿瘤]