Cantile C, Campani D, Menicagli M, Arispici M
Dipartimento di Patologia Animale Profilassi e Igiene degli Alimenti, Facoltà di Medicina Veterinaria, Pisa, Italy.
J Comp Pathol. 2002 Feb-Apr;126(2-3):183-93. doi: 10.1053/jcpa.2001.0544.
Choroid plexus carcinomas in four dogs (three male, one female) aged small middle 2.5 to 10 years, were examined by light microscopy and immunohistochemistry. The dogs showed progressive neurological signs including ataxia, seizures, vestibular disease and cranial nerve deficits, lasting for several months in some cases. Primary tumours were localized in the lateral (one case), third (one case), and fourth (two cases) ventricles. Hydrocephalus was evident at post-mortem examination in one case. In two cases the neoplastic cells closely resembled the structure of normal choroid plexus, with a distinct papillary pattern, composed of well-differentiated columnar epithelium. In the other two cases, cellular pleomorphism, nuclear atypia, increased mitotic activity and necrosis were observed. In all cases, dissemination of neoplastic cell clusters was detected within the subarachnoid space or the ventricular cavity. Immunohistochemical examination showed a multifocal labelling pattern for pankeratin and cytokeratin AE1 and diffuse vimentin positivity in poorly differentiated tumours. Well-differentiated choroid plexus carcinomas showed multifocal immunoreactivity for cytokeratin AE3, multifocal to diffuse immunoreactivity for vimentin and occasional positivity for carcinoembryonic antigen. Epithelial membrane antigen, Ber EP4 and S-100 were negative in all cases. Glial fibrillary acidic protein labelling occurred only in a single, poorly differentiated tumour. Occasional reactions for proliferating cell nuclear antigen and MIB-1 were seen in two cases. It was concluded that at least two morphological and possibly phenotypic subtypes (well-differentiated and anaplastic) of choroid plexus carcinoma of the dog could be identified.
对4只年龄在2.5至10岁之间的犬(3只雄性,1只雌性)的脉络丛癌进行了光学显微镜和免疫组织化学检查。这些犬表现出进行性神经症状,包括共济失调、癫痫发作、前庭疾病和颅神经功能缺损,在某些情况下持续数月。原发性肿瘤位于侧脑室(1例)、第三脑室(1例)和第四脑室(2例)。尸检时1例可见脑积水。2例肿瘤细胞与正常脉络丛结构极为相似,具有明显的乳头状结构,由分化良好的柱状上皮组成。另外2例观察到细胞多形性、核异型性、有丝分裂活性增加和坏死。所有病例均在蛛网膜下腔或脑室内检测到肿瘤细胞簇播散。免疫组织化学检查显示,低分化肿瘤中泛角蛋白和细胞角蛋白AE1呈多灶性标记模式,波形蛋白弥漫阳性。高分化脉络丛癌对细胞角蛋白AE3呈多灶性免疫反应,对波形蛋白呈多灶性至弥漫性免疫反应,癌胚抗原偶尔呈阳性。所有病例中上皮膜抗原、Ber EP4和S-100均为阴性。胶质纤维酸性蛋白标记仅出现在1例低分化肿瘤中。2例偶尔出现增殖细胞核抗原和MIB-1反应。得出的结论是,犬脉络丛癌至少可识别出两种形态学及可能的表型亚型(高分化型和间变性)。