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  • 検査項目
    JLAC10

    提出材料
    検体量
    容器
    キャップ
    カラー
    保存
    (安定性)
    所要
    日数
    実施料
    判断料
    検査方法
  • ビメンチン
    ホルマリン固定組織(パラフィンブロック・未染標本スライドも可)
    VP0
    室温
    *5~8

    400
    ※8

備考

&1
*所要日数
 ・脱脂処理,脱灰処理が必要な場合は所要日数が7 ~ 12日となります。
 ・酵素抗体染色が必要な場合は所要日数が約2週間となります。
 ・蛍光抗体が必要な場合は所要日数が2 ~ 3週間となります。
 ・骨髄像が必要な場合は所要日数が約2週間となります。
 ・専門医による診断が必要な臓器(皮膚,肝臓,骨髄,心臓等)は所要日数が7 ~ 12日となります。
 ・手術材料(切り出し時,5ブロック以上になる場合)は所要日数が2 ~ 3週間となります。
 ・ 特殊なご依頼の場合,まとまった件数(処理内容により異なりますがおおむね20件以上)の場合は通常より所要日数が遅れますので,事前に営業員へお問い合わせください。
病理専用容器(VP0)容器について
病理専用容器(VP0)に20%ホルマリン液を充填し,組織を固定してご提出ください。
病理専用容器(VP0)に入らない大きさの組織は,充分に固定後,ヒストパック(特大,大,中,小)に入れてご提出ください。

診療報酬

N002(08)
その他(1臓器につき)
病理判断料130点

  • 「その他(1臓器につき)」について、確定診断のために4種類以上の抗体を用いた免疫染色が必要な患者に対して、標本作製を実施した場合には、1,200点を所定点数に加算する。

容器

補足情報

List of enzyme antibody staining

Room temperature [Materials: formalin-fixed tissues (Paraffin blocks or unstained slides are also available.)]
CODE TEST NAME ANTIGEN DISTRIBUTION CLINICAL SIGNIFICANCE
TUMOR-RELATED
5901 0
CEA Normal colonic mucosa, fetal gastric mucosa (pyloric region), ducts of the salivary gland from fetuses Many adenocarcinomas, some squamous cell carcinomas, some carcinoids, medullary carcinoma of thyroid, some small cell lung cancers
5902 7
AFP (α-fetoprotein) Hepatocytes/yolk sac/intestinal epithelium of the fetal period Hepatocellular carcinoma, yolk sac tumor, some stomach cancers, immature teratoma, pancreatoblastoma
5906 6
NSE Nerve cells, nerve fiber, (some) endocrine cells, adrenomedullary cells Neuroendocrine tumor, melanoma, myogenic tumor
5907 3
HCG Placental villous syncytiotrophoblast Choriocarcinoma, some adenocarcinomas including stomach cancer, carcinoid (α-subunit), germinoma, large cell lung cancer, malignant islet-cell carcinoma
IMMUNOGLOBULINS AND COMPLEMENT
5908 1
IgG B lymphocytes, plasma cells Plasmacytoma, myeloma, primary glomerular disease, glomerular disease associated with other diseases
5909 8
IgA
5910 8
IgM
5911 5
κ chain Plasmacytoma
5912 2
λ chain
5913 0
C1q Primary glomerular disease, glomerular disease associated with other diseases
5914 7
C3
5916 1
Fibrinogen
TISSUE MARKERS
5923 5
Epithelial membrane antigen (EMA) Many glandular epithelia/ductular epithelia, some mesothelia Many adenocarcinomas, squamous cell carcinoma, (some) mesotheliomas, synovial sarcoma, chordoma
5925 0
Keratin (wide range) Almost all epithelial cells, mesothelial cells Squamous cell carcinoma, some adenocarcinomas, mesothelioma, adenomatoid tumor, small cell lung cancer, medullary carcinoma of thyroid, carcinoid, epithelioid sarcoma, synovial sarcoma, chordoma, thymoma, choroid plexus papilloma
5926 7
High molecular keratin (34βE12) Squamous cells Squamous cell carcinoma
5928 1
Vimentin Mesenchymal cells, epithelial cells in the mitotic phase, tubular epithelium of fetal kidney Mesenchymal tumor, some cancers (e.g., Grawitz tumor, thyroid cancer), (some) undifferentiated carcinomas
5929 9
Myoglobin Skeletal muscle, thymic medullary myoid cells Rhabdomyosarcoma, tumor components indicating differentiation to striated muscle
5930 9
Desmin Smooth muscle cells, skeletal muscle cells Muscular tumor
5931 6
S100 protein Astrocytes, Schwann cells, satelite cells (neuromuscular cells), chondrocytes, fat cells, T-zone histiocytes, Langerhans cells (skin), myoepithelial cells Glioma, schwannoma, nevus, melanoma, paraganglioma (satelite cells), (some) fibrous histiocytomas, histiocytosis X, chondrosarcoma, chordoma, liposarcoma, mixed tumor of salivary gland
5932 3
Glial fibrillary acidic protein (GFAP) Astrocytes, ependymal cells Glioma, ependymoma, medulloblastoma, choroid plexus papilloma
5933 1
Neurofilament (NF) Nerve cells, nerve fiber, adrenomedullary cells, (some) endocrine cells Neuroblastoma, pheochromocytoma, carcinoid, small cell lung cancer, medullary carcinoma of thyroid, pineocytoma
5934 8
Factor VIII-related antigen Vascular endothelium, (some) lymphatic endothelia, megakaryocytes Angioma, Kaposi sarcoma
5935 5
Prostate-specific antigen (PA) Prostate epithelium Prostate cancer
5936 2
Prostatic acid phosphatase (PSAP) Prostate epithelium, some endocrine cells Prostate cancer, some endocrine gland tumors
5937 0
Lysozyme Paneth cells, pyloric gland, salivary gland, bronchial gland, bile duct accessory gland, tubular epithelium, granulocytes, macrophages Adenocarcinoma derived from the gastric/pulmonary/biliary system, salivary gland tumor, histiocytic tumor
HORMONES (PANCREAS/GUT)
5942 9
Glucagon A-cells of the Langerhans islets Langerhans adenoma, ectopic hormone-producing tumor
5943 6
Gastrin G-cells in the stomach/intestines
5944 3
Somatostatin D-cells of the Langerhans islets, D-cells in the stomach/intestines
5947 5
Serotonin Normal endocrine cells Carcinoid
HORMONES (PLACENTAL FUNCTION)
5950 0
Placental alkaline phosphatase (PLAP) Placental villous syncytiotrophoblast, reserve cells of cervical cancer, endometrial lining epithelium Seminoma, some adenocarcinomas, cervical cancer (exceptional)
HORMONES (THYROID GLAND/PARATHYROID FUNCTION)
5886 6
Calcitonin Thyroid C cells, bronchial K cells Medullary carcinoma of thyroid, small-cell lung cancer, bronchial carcinoid, Langerhans tumor (in some cases)
5887 3
Parathyroid hormone (PTH) Parathyroid cells Parathyroid cancer, ectopic hormone-producing tumor
HORMONES (PITUITARY FUNCTION)
5890 8
Thyroid stimulating hormone (TSH) Anterior pituitary gland Pituitary adenoma, ectopic hormone-producing tumor
5891 5
Growth hormone (GH)
5892 2
Luteinizing hormone (LH)
5895 4
Prolactin (PRL)
5896 1
Antidiuretic hormone (ADH) Posterior pituitary gland
LYMPHOCYTE-RELATED
5917 9
Leukocyte common antigen (LCA) Lymphocytes, histiocytes (in some cases) Malignant lymphoma, plasmacytoma, chloroma
5918 6
T lymphocytes (UCHL-1) T lymphocytes, polymorphonuclear leukocyte, histiocytes (in some cases) Malignant T lymphoma
5920 3
B lymphocytes (L-26) B lymphocytes Malignant B lymphoma
5899 3
Leu M1 Polymorphonuclear leukocyte, monocytes, activated T lymphocytes, normal epithelial cells, proximal tubular epithelium Hodgkin lymphoma

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