Cassali G D, Gobbi H, Gartner F, Schmitt F C
Department of General Pathology-ICB/UFMG, Belo Horizonte, MG, Brasil.
Vet Pathol. 1999 Nov;36(6):601-3. doi: 10.1354/vp.36-6-601.
Secretory carcinoma is an uncommon variant of breast cancer, characterized by the presence of intracellular and extracellular eosinophilic secretion. Here, we report the cytologic, histologic, and immunohistochemical findings of a secretory carcinoma diagnosed in the left inguinal mammary gland of a 3-year-old female German Shepherd Dog. The fine-needle aspiration cytology showed numerous large branching sheets of neoplastic cells and isolated cells with cytoplasmic vacuoles. Histologically, the tumor was composed of cells with clear cytoplasm and prominent vacuoles that pushed the nuclei to the periphery, resembling signet ring cells. These cells were arranged in solid or tubular structures with lumenal spaces filled with eosinophilic secretion. Immunohistochemical reactions to cytokeratin (CAM 5.2) and alpha-lactalbumin were strongly positive in all neoplastic cells, and staining for vimentin and S100 protein was negative. The cytomorphologic and immunohistochemical features of this tumor are similar to those seen in tumors in women, hence enabling the diagnosis of a rare case of primary secretory carcinoma of the canine mammary gland.
分泌性癌是一种罕见的乳腺癌变体,其特征是存在细胞内和细胞外嗜酸性分泌物。在此,我们报告一只3岁雌性德国牧羊犬左腹股沟乳腺诊断出的分泌性癌的细胞学、组织学和免疫组化结果。细针穿刺细胞学显示大量大的分支状肿瘤细胞片和带有细胞质空泡的孤立细胞。组织学上,肿瘤由细胞质清晰且有明显空泡的细胞组成,这些空泡将细胞核推向周边,类似印戒细胞。这些细胞排列成实性或管状结构,管腔内充满嗜酸性分泌物。所有肿瘤细胞对细胞角蛋白(CAM 5.2)和α-乳白蛋白的免疫组化反应均为强阳性,波形蛋白和S100蛋白染色为阴性。该肿瘤的细胞形态学和免疫组化特征与女性肿瘤所见相似,从而能够诊断出一例罕见的犬乳腺原发性分泌性癌病例。