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Practical Immunohistochemistry in Neoplastic Pathology of the Gastrointestinal Tract, Liver, Biliary Tract, and Pancreas.

胃肠道、肝脏、胆道和胰腺肿瘤病理中免疫组化实践经验总结

Wang HL,Kim CJ,Koo J,Zhou W,Choi EK,Arcega R,Chen ZE,Wang H,Zhang L,Lin F

Abstract

- Immunomarkers with diagnostic, therapeutic, or prognostic values have been increasingly used to maximize the benefits of clinical management of patients with neoplastic diseases of the gastrointestinal tract, liver, biliary tract, and pancreas.
- To review the characteristics of immunomarkers that are commonly used in surgical pathology practice for neoplasms of the gastrointestinal tract, liver, biliary tract, and pancreas, and to summarize the clinical usefulness of immunomarkers that have been discovered in recent years in these fields.
- Data sources include literature review, authors' research data, and personal practice experience.
- Immunohistochemistry is an indispensable tool for the accurate diagnosis of neoplastic diseases of the gastrointestinal tract, liver, biliary tract, and pancreas. Useful immunomarkers are available to help distinguish malignant neoplasms from benign conditions, determine organ origins, and subclassify neoplasms that are morphologically and biologically heterogeneous. Specific immunomarkers are also available to help guide patient treatment and assess disease aggressiveness, which are keys to the success of personalized medicine. Pathologists will continue to play a critical role in the discovery, validation, and application of new biomarkers, which will ultimately improve patient care.

摘要

具有诊断、治疗或预后价值的免疫标记物已经越来越广泛的应用,这给胃肠道、肝脏、胆道和胰腺肿瘤患者的临床处理带来了极大的益处。

本文回顾了近年来在胃肠道、肝脏、胆道、和胰腺肿瘤外科病理领域常用的免疫组化标记物特点,进一步总结这些免疫标记物的临床实践应用。

数据来源包括文献综述、作者的研究数据和个人实践经验。

免疫组织化学染色目前是一种消化系统肿瘤性疾病准确诊断不可或缺的工具。免疫标记物可以用于区分肿瘤良恶性,确定肿瘤组织来源,并对形态和生物多样性的肿瘤进行亚型分类。特定的免疫标记物也可用于指导患者治疗和评估疾病的侵袭性,这是个性化医疗成功的关键。病理学家将继续在发现、验证和应用新的生物标记物方面发挥关键作用,这将最终改善患者的治疗。

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