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黏液样脂肪肉瘤。一项电子显微镜研究:生物学及组织发生学考量

Myxoid liposarcoma. An electronmicroscopic study: biological and histogenetic considerations.

作者信息

Lagacé R, Jacob S, Seemayer T A

出版信息

Virchows Arch A Pathol Anat Histol. 1979;384(2):159-72. doi: 10.1007/BF00427253.

Abstract

Ten myxoid liposarcomas (ML) were studied ultrastructurally in an attempt to determine the histogenesis of this neoplasm and structural associations which might contribute to their relatively benign clinical behavior. The findings were compared with normal and neoplastic adipose tissue. Three cell types were observed, i.e., "primitive" mesenchymal cells, intermediate cell types, and lipoblasts at various stages of development. The principle differences between the lipoblastic elements were the number and the size of intracytoplasmic fat vacuoles, the development of basement membrane-like material, micropinocytotic vesicles along the plasma membrane and the quantity and pleomorphism of mitochondria. The tumor vasculature was complex but consistently demonstrated a multilayered basal lamina. This finding has been described in neoplasms associated with a relatively good prognosis. This study demonstrates that the better differentiated lipoblasts in ML share some features with normal brown fetal fat and hibernoma. It is, thus, suggested that ML may be derived from brown adipose tissue.

摘要

对10例黏液样脂肪肉瘤(ML)进行了超微结构研究,旨在确定该肿瘤的组织发生以及可能导致其相对良性临床行为的结构关联。将研究结果与正常和肿瘤性脂肪组织进行了比较。观察到三种细胞类型,即“原始”间充质细胞、中间细胞类型以及处于不同发育阶段的脂肪母细胞。脂肪母细胞成分之间的主要差异在于细胞质内脂肪空泡的数量和大小、基底膜样物质的发育、沿质膜的微饮泡以及线粒体的数量和多形性。肿瘤血管系统复杂,但始终显示出多层基底膜。这一发现已在预后相对较好的肿瘤中有所描述。本研究表明,ML中分化较好的脂肪母细胞与正常棕色胎儿脂肪和冬眠瘤具有一些共同特征。因此,提示ML可能起源于棕色脂肪组织。

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