经典型Kaposi肉瘤4例报告  

Four Cases Report of Typical Kaposi Sarcoma

作　　者：王香兰[1] 冯义国[1] 张秉正[1] 文京华[1] 张磐谏[1] 王俊民[1] 苏宝山[2] 

机构地区：[1]西安交通大学第二医院皮肤科,陕西西安710004 [2]西安交通大学第二医院病理科,陕西西安710004

出　　处：《中国皮肤性病学杂志》2003年第4期238-239,253,共3页The Chinese Journal of Dermatovenereology

摘　　要：报告临床表现不完全相同的经典型Kaposi肉瘤 (KS) 4例 ,其中皮损斑块型、结节型各 2例 ,初诊时均被误诊。经组织病理检查符合KS ,免疫组化检查FⅧRAg、UEA 1、CD3 4 标记均阳性 ,HIV抗体梅毒血清检查 ,阴性排除AIDS相关。确诊为非AIDS相关KS经典型。提示无明确原因出现斑片、斑块、结节损害 ,长期治疗效果不明显且诊断不明确的病例 ,应尽早做皮肤活检 ,必要时进行免疫组化检测。Four cases of typical Kaposi sarcoma with varying clinical presentations,which included 2 cases with nodular lesions,2 case plaque,respectively.Pathological changes proved KS with positive results of detection of CD 34 ,factor Ⅷ related antigen,UEA-1,and negative results of anti-HIV antibody and treponemal sera test(USR,RPR and TPHA) which excluded AIDS related KS.So the four cases of KS were not AIDS-related and belong to the typical type of KS.Therefore,as for suspect cases with plaques or patches or nodules without definite reasons and without obvious effect for long-term therapy,it's better to practice biopsy as soon as possible and immunohistochemical stain when needed.

关 键 词：经典型KAPOSI肉瘤 组织病理学 免疫组化 诊断 

分 类 号：R739.5[医药卫生—肿瘤]