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母犬双侧网状支持-间质细胞瘤。α-抑制素和上皮膜抗原作为鉴别诊断的有用工具。

Bilateral retiform Sertoli-Leydig cell tumour in a bitch. Alpha-inhibin and epithelial membrane antigen as useful tools for differential diagnosis.

作者信息

Gómez-Laguna J, Millán Y, Reymundo C, Domingo V, Martín de Las Mulas J

机构信息

Departamento de Anatomía y Anatomía Patológica Comparadas, Edificio Sanidad Animal, Campus Universitario Rabanales, Facultad de Veterinaria, Universidad de Córdoba, Granada, Spain.

出版信息

J Comp Pathol. 2008 Aug-Oct;139(2-3):137-40. doi: 10.1016/j.jcpa.2008.05.006. Epub 2008 Jul 11.

Abstract

Sertoli-Leydig cell tumours with a retiform pattern similar to the pattern of the rete testis are a subtype of sex cord-stromal tumours recognized in the human WHO histological classification of ovarian tumours but not in the equivalent classification for domestic animals. The morphology of the tumour may be confused with that of the more common ovarian epithelial tumours. The gross, microscopical and immunohistochemical features of a canine retiform Sertoli-Leydig cell tumour and its comparison with the human counterpart are presented in this report. Both ovaries were enlarged and cystic. Microscopically, the tumour was cystic with tubulopapillary growth characterized by narrow, elongated branching tubules. Immunohistochemically, the tumour cells expressed alpha-inhibin, while epithelial membrane antigen was not detected, indicating a sex cord-stromal origin of the tumour. Additionally, the tumour cells expressed cytokeratin and vimentin in addition to oestrogen receptor alpha and progesterone receptor.

摘要

具有类似于睾丸网模式的网状结构的支持-间质细胞瘤是性索-间质肿瘤的一种亚型,在人类卵巢肿瘤的世界卫生组织组织学分类中被认可,但在同等的家畜分类中却未被认可。该肿瘤的形态可能与更常见的卵巢上皮性肿瘤相混淆。本报告介绍了犬网状支持-间质细胞瘤的大体、显微镜和免疫组化特征及其与人类同类肿瘤的比较。双侧卵巢均增大且呈囊性。显微镜下,肿瘤为囊性,呈管状乳头样生长,其特征为狭窄、细长的分支小管。免疫组化显示,肿瘤细胞表达α-抑制素,而未检测到上皮膜抗原,表明该肿瘤起源于性索-间质。此外,肿瘤细胞除了表达雌激素受体α和孕激素受体外,还表达细胞角蛋白和波形蛋白。

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