%0 Journal Article
%T 肉瘤样肝内胆管细胞癌2例误诊分析<br>Misdiagnosis Analysis of 2 Cases of Sarcomatoid Intrahepatic Cholangiocarcinoma
%A 刘智贤
%A 洪凡
%A 高银华
%A 刘汉忠
%J Medical Diagnosis
%P 8-12
%@ 2164-5418
%D 2021
%I Hans Publishing
%R 10.12677/MD.2021.111002
%X 目的：对2例肉瘤样肝内胆管细胞癌病例误诊进行分析，提高对肉瘤样肝内胆管细胞癌的病理诊断能力。方法：对本院收治的2例肉瘤样肝内胆管细胞癌误诊为上皮样血管肉瘤，进行形态学与免疫组化进行分析，探讨误诊原因。结果：肉瘤样肝内胆管细胞癌在形态学与免疫组织化学上具有上皮、间叶双向分化特点，与上皮样血管肉瘤在组织学、免疫组化有共性也不同。结论：肉瘤样肝内胆管细胞癌病理诊断容易误诊，在诊断方面需要形态学与免疫组织化学的结合，同时进行必要的网状纤维染色等进一步鉴别。<br />
Objective: Misdiagnosis analysis was performed on 2 cases of sarcomatoid intrahepatic cholangio-carcinoma to improve the pathological diagnosis of sarcoma-like intrahepatic bile duct cell carci-noma. Methods: Two cases of sarcomatoid intrahepatic cholangiocarcinoma admitted to our hospital were analyzed by pathological diagnosis, morphology and immunohistochemistry, and meanwhile, the differential diagnosis was analyzed with epithelioid angiosarcoma. Results: Sarcomatoid intra-hepatic cholangiocarcinoma has some morphological and immunohistochemical characteristics, which are characterized by bidirectional differentiation of epithelial mesenchymal cells, and are different from epithelioid angiosarcoma in histology and immunohistochemistry. Conclusion: The diagnosis of sarcomatoid intrahepatic cholangiocarcinoma requires the combination of morphology and immunohistochemistry, and further differentiation of epithelioid angiosarcoma in morphology, immunohistochemistry and reticular fiber staining.
%K 肉瘤样肝内胆管细胞癌，免疫组化，诊断，鉴别诊断<br>Sarcomatoid Intrahepatic Cholangiocarcinoma
%K Immunohistochemical
%K Diagnosis
%K Distinguish
%U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=40850