TRANSBRONCHIAL BIOPSY IN LYMPHANGIOMYOMATOSIS OF THE LUNG - HMB45 FOR DIAGNOSIS

被引:158
作者
BONETTI, F
CHIODERA, PL
PEA, M
MARTIGNONI, G
BOSI, F
ZAMBONI, G
MARIUZZI, GM
机构
[1] OSPED VALLECAMON,SERV ANAT PATOL,BRESCIA,ITALY
[2] UNIV PAVIA,DIPARTIMENTO PATOL UMANA & EREDITARIA,PAVIA,ITALY
关键词
LYMPHANGIOMYOMATOSIS; HMB45; TUBEROUS SCLEROSIS; IMMUNOHISTOCHEMISTRY; MELANOMA MARKER;
D O I
10.1097/00000478-199311000-00002
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
We have investigated the presence of smooth muscle cells with immunoreactivity for melanoma-related marker HMB45 in pulmonary lymphangiomyomatosis (PLAM). Of 75 lung specimens, including a variety of lesions (obtained with both transbronchial and open lung biopsies), only PLAM (six specimens from three patients) showed the presence of HMB45-positive cells. In addition, 20 specimens of normal lung were unreactive with this monoclonal antibody. It is concluded that the smooth muscle cells of PLAM regularly exhibit a peculiar phenotype, characterized by HMB45 immunoreactivity, distinct from other smooth muscle proliferations; and the histological diagnosis of PLAM can be made when only a transbronchial biopsy is available.
引用
收藏
页码:1092 / 1102
页数:11
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