:CK20,MUCs,CDX2,P53
2鳞状细胞癌(普通型)
阳性:CAM52,AE1/AE3,CK5/6,34βE12,CK14,P63(部分),CK19
阴性:CK7,CK20,WT-1,CD5,TTF-1
3基底细胞样鳞癌
阳性:Bcl-2,CK5/6,CK13,CK14,CK19,P63,S-100
阴性:CAM52,AE1/AE3
4腺癌
阳性:CK7,CK20
阴性:P63
5腺样囊性癌
阳性:CAM52,AE1/AE3,CD117
(导管分化细胞) 34βE12,CEA
(肌上皮分化细胞) S-100,SMA,vimentin,P63
阴性:CgA,Syn
6黏液表皮样癌
阳性:(鳞状上皮样区域) 34βE12,CK14,P63
(腺上皮区域) CK7,CEA
7梭形细胞分化癌或肉瘤样癌
阳性:CAM52,AE1/AE3,vimentin
阴性:desmin
8平滑肌瘤
阳性:SMA,desmin,MSA,calponin
阴性:CD34,CD117,S-100
9平滑肌肉瘤
阳性:SMA,desmin,vimentin
阴性:CD34,CD117
10胃肠道间质瘤
阳性:CD34,CD117,PDGFRA,DOG1,PKCθ
11神经内分泌肿瘤
阳性:Syn,CgA,NSE,TTF-1,CD56
阴性:CK19,CK20,34βE12
12横纹肌肉瘤
13滑膜肉瘤
14Kaposi肉瘤
阳性:CD31,CD34
15颗粒细胞瘤
阳性:S-100,CD57,vimentin
阴性:desmin,CD34,CD117,CAM52,EMA,CEA
16恶性黑色素瘤
阳性:vimentin,S-100,HMB45,MART/melan-A,tyrosinase
阴性:CK,CEA
17淋巴瘤(大B细胞淋巴瘤和MALT淋巴瘤多见)
胃部肿瘤
1胃腺癌
阳性:CAM52,Pan-CK,CK7,CK20,CK18,CK19,CDX2,CEA(部分),villin(部分),Her-2
阴性:CK5/6,vimentin,P63(鳞化区域可阳性),TTF-1,CA125(少量)
2含神经内分泌分化的腺癌
阳性:CKs,CgA,Syn
阴性:CD56
3印戒细胞癌
阳性:CDX2,CK20,CEA
阴性:GCDFP-15,ER
4高分化神经内分泌肿瘤或小细胞癌
阳性:CgA,Syn,CDX2
阴性:CK20,TTF-1,CK5/6
5肉瘤样癌
6胃肠道间质瘤
阳性:CD117,CD34,CD99,SMA,HHF-35(25%-50%),CK18(10%)
阴性:Syn(<5%),desmin(2%),CgA,S-100
7神经鞘瘤
阳性:S-100,CD57(Leu7),GFAP
阴性:CD117,CD34,SMA
8纤维瘤病
阳性:vimentin,desmin,β-catenin
阴性:CD117,CD34(少量细胞可阳性)
9孤立性纤维瘤
阳性:CD34,CD99,SMA,Bcl-2
阴性:CD117
10肝样腺癌
阳性:AFP,Hepatocyte
11绒毛膜癌
阳性:β-hCG,PLAP
小肠肿瘤
1神经内分泌肿瘤
阳性:CgA,Syn,CD57,villin,CEA,CDX2,CK20(25%),somatostatin
阴性:CK7,TTF-1
2GIST
阳性:CD117,CD34,Bcl-2,SMA,S-100(20%)
阴性:desmin,CgA
3远端小肠腺癌(表型类似结肠癌)
阳性:CK18,CK19,CK20,CDX2,villin,MUC1,MUC5AC(33%)
阴性:CK7,CK5/6,P63,vimentin
4壶腹部腺癌(表型类似胰胆管腺癌)
阳性:CK18,CK19,CK7(50%),CK20(50%),CDX2,MUC1,MUC5AC(33%)
阴性:CK5/6,P63,vimentin
阑尾肿瘤
1神经内分泌肿瘤
阳性:CgA,Syn,E-cadherin,β-catenin,CK20,CDX2
阴性:CEA,CK7
2不产生黏液的腺瘤及腺癌
阳性:CK20,CK7
3产生黏液的腺瘤及腺癌
阳性:CK8,CK18,CK19,CK20,CDX2,villin,MUC2,MUC5A,MUC1(20
答案:B
由本患者的症状可知本病为急性泄泻湿热下注型,治疗应该除湿导滞、疏调肠胃,应首选天枢、阴陵泉、上巨虚、水分等腧穴。天枢为大肠的募穴,调理胃肠传导功能;阴陵泉为脾经的合穴,疏调脾气,健脾利湿;上巨虚为大肠的下合穴,通调胃肠气机,运化湿滞;水分可以调节水电解质紊乱。外加胃经荥穴内失,兼治热性病证。
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