ABSTRACT
El carcinoma de células claras es una neoplasia rara de bajo grado que se desarrolla casi exclusivamente en glándulas salivales menores humanas. El objetivo de esta comunicación es analizar las características estructurales, histoquímicas e inmunohistoquímicas (IHQ) de dos casos de carcinoma de células claras de parótida y realizar el diagnóstico diferencial con otros tumores salivales primarios y metastásicos que presentan células claras. Cortes de ambos tumores fueron procesados para H/E, tricrómicos de Masson y Dane, Azul de toluidina, Azul alciano, PAS y PAS/diastasa; marcaciones IHQ para citoqueratinas de bajo y alto peso molecular, ki67, HMB45, p63 y proteína S-100. El patrón estructural de estos tumores estaba determinado por nidos y cordones de células claras delimitados por un estroma no hialinizado. En un tumor se observó una neoplasia maligna a células claras con manifiesta anaplasia. La expresión de ki67 fue importante. El otro tumor estaba constituido por células claras monomorfas sin signos manifiestos de atipia y casi nula expresión de ki67. Con PAS se demostró la presencia de glucógeno y no se observó un desarrollo importante del estroma colágeno en ambas neoplasias. En ambos casos resultó francamente positiva la inmunomarcación para citoqueratinas de bajo y alto peso molecular. Por el contrario resultó negativa para HMB45 y p63. La proteína S-100 tuvo su expresión en células aisladas. Se concluye que los casos presentados son de localización poco común (parótida) según lo descripto en la bibliografía; corresponden a la variedad no hialinizante ya que no está presente un importante estroma colágeno hialinizado, y ambos tumores son primarios de glándulas salivales, de origen epitelial, no melanocítico ni hematopoyético (linfomas) como lo demuestran las marcaciones IHQ.
The clear cell carcinoma is a rare neoplam of low level grade that develops almost exclusively in human minor salivary glands. The objective of this present work is to analyze the structural, histochemical and inmunohistochemical (IHQ) characteristics of two cases of parotid clear cell carcinoma and make a differential diagnosis with other primary and metastatic salivary tumors that clear cells show. Serial cuts of both tumors were processed for H/E, Masson and Dane trichromes, Toluidine blue, Alcian blue, PAS and PAS/diastase; IHQ marking of both high-and low-molecular weight cytokeratins, ki67, HMB45, p63 and S-100 protein. The structural pattern of these tumors were determined by nests and cords of clear cells delimited by a stroma non hyaline. In a tumor a malign neoplasia was observed in clear cells with anaplasia. The ki67 expression was important. The other tumor was constitued of clear monomorph cells without manifestation signs of atypia and almost no ki67 expression. With PAS was confirmed the presence of glycogen and not observed an important development of the collagen stroma in both neoplasms. Both cases resulted very positive the immunostaining of both high and low molecular weight cytokeratins. It resulted negative for the HMB45 and p63. The protein S-100 has it´s expression in isolated cells. We conclude that: the presented cases are very uncommon localization (parotid) as described by the literature; it matches a non hyalinizing variety because a very important hyalinized collagen stroma is not present, both primary tumors of salivary glands, of epithelial origin, non melanocytic, renal or hematopoietic lymphomas which shows immunostaining IHQ.
Subject(s)
Humans , Male , Female , Middle Aged , Adenocarcinoma, Clear Cell/pathology , Parotid Neoplasms/pathology , Adenocarcinoma, Clear Cell/diagnosis , Diagnosis, Differential , Immunohistochemistry , Parotid Neoplasms/diagnosisABSTRACT
A histochemical study of labial glands was performed to compare the different stages of differentiation with those of lingual glands previously studied. Labial glands of 8 to 32 week old human fetuses were analyzed with Hematoxylin/eosine, PAS, Cason, Alcian blue, Toluidine blue, methenamine/silver, TEM and Ruthenium red techniques. At 8-10 weeks various differentiation phases of cell cords originated in the epithelium of the labial mucosa were observed. Acinar buds had PAS positive, alcianophilic and metachromatic material in the lumen of 14 week labial glands. The excretory ducts featured similar characteristics. At 24 weeks groups of mucous and seromucous acini were identified and the mucosubstances increased in the 32 week old fetuses. These results show that the labial glands are histophysiologically differentiated at an earlier stage of development (14 weeks) as compared to lingual glands (20 weeks). However, mucosubstance production would begin during the early phases of embryogenesis for both labial and lingual glands.
Subject(s)
Exocrine Glands/embryology , Cell Differentiation , Embryonic and Fetal Development , Exocrine Glands/metabolism , Exocrine Glands/ultrastructure , Gestational Age , Histocytochemistry , Humans , Lip/embryology , Mucins/biosynthesisABSTRACT
The histogenesis of the salivary glands was structurally and cytochemically studied in human embryos and fetuses during the period of 8 to 32 weeks of intrauterine life. Glandular buds appeared at about 12 weeks of embryonic development. The rounded distal ends of the epithelial cords and neighbouring mesenchyma showed small and abundant PAS positive and alcianophilic granules. At age 14 weeks the secretory end pieces and the duct system were seen at different morphologic and structural stages of a differentiation. Mucous acini with scanty mixed acini predominated and serous acini appeared occasionally. From 20 to 24 weeks the mucous acini stained with toluidine blue featured different degrees of metachromasia even in the case of cells of the same acinus. In the ducts it was also possible to identify metachromatic cells intermingled with basophilic cells in the epithelial coat. These findings suggest that the palatine glands present typical histophysiological material from 14 to 20 weeks. The presence of PAS positive, alcianophilic and metachromatic secretory substance in the acinar lumen and the luminal content of ducts suggests that mucin secretion begins during intrauterine life.
Subject(s)
Exocrine Glands/embryology , Salivary Glands, Minor/embryology , Embryonic and Fetal Development , Humans , Mucins/metabolism , PalateABSTRACT
A histochemical study of labial glands was performed to compare the different stages of differentiation with those of lingual glands previously studied. Labial glands of 8 to 32 week old human fetuses were analyzed with Hematoxylin/eosine, PAS, Cason, Alcian blue, Toluidine blue, methenamine/silver, TEM and Ruthenium red techniques. At 8-10 weeks various differentiation phases of cell cords originated in the epithelium of the labial mucosa were observed. Acinar buds had PAS positive, alcianophilic and metachromatic material in the lumen of 14 week labial glands. The excretory ducts featured similar characteristics. At 24 weeks groups of mucous and seromucous acini were identified and the mucosubstances increased in the 32 week old fetuses. These results show that the labial glands are histophysiologically differentiated at an earlier stage of development (14 weeks) as compared to lingual glands (20 weeks). However, mucosubstance production would begin during the early phases of embryogenesis for both labial and lingual glands.
ABSTRACT
The histogenesis of the salivary glands was structurally and cytochemically studied in human embryos and fetuses during the period of 8 to 32 weeks of intrauterine life. Glandular buds appeared at about 12 weeks of embryonic development. The rounded distal ends of the epithelial cords and neighbouring mesenchyma showed small and abundant PAS positive and alcianophilic granules. At age 14 weeks the secretory end pieces and the duct system were seen at different morphologic and structural stages of a differentiation. Mucous acini with scanty mixed acini predominated and serous acini appeared occasionally. From 20 to 24 weeks the mucous acini stained with toluidine blue featured different degrees of metachromasia even in the case of cells of the same acinus. In the ducts it was also possible to identify metachromatic cells intermingled with basophilic cells in the epithelial coat. These findings suggest that the palatine glands present typical histophysiological material from 14 to 20 weeks. The presence of PAS positive, alcianophilic and metachromatic secretory substance in the acinar lumen and the luminal content of ducts suggests that mucin secretion begins during intrauterine life.
ABSTRACT
A histochemical study of labial glands was performed to compare the different stages of differentiation with those of lingual glands previously studied. Labial glands of 8 to 32 week old human fetuses were analyzed with Hematoxylin/eosine, PAS, Cason, Alcian blue, Toluidine blue, methenamine/silver, TEM and Ruthenium red techniques. At 8-10 weeks various differentiation phases of cell cords originated in the epithelium of the labial mucosa were observed. Acinar buds had PAS positive, alcianophilic and metachromatic material in the lumen of 14 week labial glands. The excretory ducts featured similar characteristics. At 24 weeks groups of mucous and seromucous acini were identified and the mucosubstances increased in the 32 week old fetuses. These results show that the labial glands are histophysiologically differentiated at an earlier stage of development (14 weeks) as compared to lingual glands (20 weeks). However, mucosubstance production would begin during the early phases of embryogenesis for both labial and lingual glands.
