Brunetti B, Sarli G, Marcato P S, Benazzi C
Dipartimento di Sanità Pubblica Veterinaria e Patologia Animale, Alma Mater Studiorum Università di Bologna, Via Tolara di Sopra 50, Ozzano Emilia, 40064 Bologna, Italy.
J Comp Pathol. 2003 Aug-Oct;129(2-3):131-6. doi: 10.1016/s0021-9975(03)00020-3.
Mucinous carcinoma is a rare mammary tumour, characterized by intracellular and extracellular mucin. It is still uncertain whether the origin of the mucin is epithelial, myoepithelial or fibroblastic. Eleven canine cases originally classified as mucinous carcinomas were reassessed and compared with myoepithelial nests of mixed tumours. All samples were examined (1) histochemically by the periodic acid-Schiff (PAS) and PAS-diastase methods, and with alcian blue (pH 2.5 and pH 1.0), mucicarmine and Grimelius silver stain, and (2) immunohistochemically for cytokeratin 19, vimentin, alpha-actin and chromogranin A. This examination revealed that only five of the 11 tumours were genuine mucinous carcinomas. In these five tumours the mucus-secreting cells showed cytoplasmic cytokeratin 19 positivity; the mucus showed PAS-diastase and mucicarmine positivity, and alcianophilia which was stronger at pH 2.5 than at 1.0. The remaining six cases were re-classified as mixed tumours because both mucus and mucus-producing cells shared the following similarities with myoepithelial nests of mixed tumours: vimentin and alpha-actin cytoplasmic positivity, PAS negativity, alcianophilia both at pH 2.5 and 1.0, and mucicarmine positivity.
黏液癌是一种罕见的乳腺肿瘤,其特征为细胞内和细胞外黏液。黏液的起源是上皮细胞、肌上皮细胞还是成纤维细胞仍不确定。对最初归类为黏液癌的11例犬病例进行了重新评估,并与混合瘤的肌上皮巢进行了比较。所有样本均进行了如下检查:(1)通过过碘酸希夫(PAS)和PAS-淀粉酶方法、阿尔辛蓝(pH 2.5和pH 1.0)、黏液卡红和格里米乌斯银染色进行组织化学检查;(2)针对细胞角蛋白19、波形蛋白、α-肌动蛋白和嗜铬粒蛋白A进行免疫组织化学检查。该检查显示,11个肿瘤中只有5个是真正的黏液癌。在这5个肿瘤中,分泌黏液的细胞显示细胞质细胞角蛋白19阳性;黏液显示PAS-淀粉酶和黏液卡红阳性,以及在pH 2.5时比pH 1.0时更强的阿尔辛蓝嗜染性。其余6例被重新归类为混合瘤,因为黏液和产生黏液的细胞与混合瘤的肌上皮巢具有以下共同特征:波形蛋白和α-肌动蛋白细胞质阳性、PAS阴性、在pH 2.5和1.0时均有阿尔辛蓝嗜染性以及黏液卡红阳性。