Hussain M A, Tyagi S P, Tyagi N, Khan M H
Jawaharlal Nehru Medical College, Aligarh Muslim University.
J Indian Med Assoc. 1992 May;90(5):119-21.
Histopathological study for stromal cellular response was made on 200 cases of benign and dysplastic lesions and malignancy of breast. Infiltrations with lymphocytes and plasma cells were observed in 64% cases of fibroadenoma, 66.6% cases of giant fibroadenoma, 61% cases of mammary dysplasia and 33.3% cases of gynaecomastia. While mast cell infiltration was not observed in giant fibroadenoma, its presence was observed in 92% cases of fibroadenoma, 77.8% cases of mammary dysplasia and 33.3% cases of gynaecomastia. Lymphocytes and plasma cells infiltrations were observed in 100% of cases of invasive duct carcinoma, medullary carcinoma and fibrosarcoma. Comedocarcinoma showed infiltration with these cells in 75% of cases while that for colloid carcinoma and Paget's disease of breast were observed in 50% of cases of each. Infiltrations with mast cells were observed in 92.3% cases of invasive duct carcinoma, 75% cases of comedocarcinoma and 25% cases of medullary carcinoma. Other malignant conditions of breast did not show mast cell infiltration. Degree of infiltration with lymphocytes and plasma cells was mainly of low grade in benign and dysplastic lesions compared to high degree of infiltration in malignancy. Mast cell infiltration was of low degree in both the types of lesions.
对200例乳腺良性、发育异常病变及恶性肿瘤进行了基质细胞反应的组织病理学研究。在纤维腺瘤病例中,64%观察到淋巴细胞和浆细胞浸润;巨大纤维腺瘤病例中,66.6%观察到淋巴细胞和浆细胞浸润;乳腺发育异常病例中,61%观察到淋巴细胞和浆细胞浸润;男性乳房发育病例中,33.3%观察到淋巴细胞和浆细胞浸润。巨大纤维腺瘤中未观察到肥大细胞浸润,而在纤维腺瘤病例中,92%观察到肥大细胞浸润;乳腺发育异常病例中,77.8%观察到肥大细胞浸润;男性乳房发育病例中,33.3%观察到肥大细胞浸润。浸润性导管癌、髓样癌和纤维肉瘤病例中,100%观察到淋巴细胞和浆细胞浸润。粉刺癌病例中,75%观察到这些细胞浸润;黏液癌和乳腺佩吉特病病例中,各有50%观察到这些细胞浸润。浸润性导管癌病例中,92.3%观察到肥大细胞浸润;粉刺癌病例中,75%观察到肥大细胞浸润;髓样癌病例中,25%观察到肥大细胞浸润。乳腺其他恶性病变未观察到肥大细胞浸润。与恶性肿瘤中高度浸润相比,良性和发育异常病变中淋巴细胞和浆细胞的浸润程度主要为低度。两种病变类型中肥大细胞浸润程度均为低度。