de Assis Caldas Pereira Francisco, Gurgel Clarissa Araújo Silva, Ramos Eduardo Antônio Gonçalves, Vidal Manuela Torres Andion, Pinheiro Antônio Luiz Barbosa, Jurisic Vladimir, Sales Caroline Brandi Schlaepfer, Cury Patrícia Ramos, dos Santos Jean Nunes
Department of Oral Pathology, Laboratory of Surgical Pathology, School of Dentistry, Federal University of Bahia, Salvador, Bahia, Brazil.
Tumour Biol. 2012 Apr;33(2):455-61. doi: 10.1007/s13277-011-0274-2. Epub 2011 Nov 30.
The aim of this study was to investigate the presence of mast cells in a series of odontogenic tumors. Forty-five cases of odontogenic tumors were investigated using immunohistochemistry for mast cell triptase, and differences between groups were statistically evaluated. Mast cells were present in 96% of odontogenic tumors. Mast cells present in solid ameloblastoma were observed in the tumor stroma surrounding more solid and follicular epithelial islands, with or without squamous metaplasia. The odontogenic mixoma showed few mast cells. In odontogenic tumors with a cystic structure, the mast cells were distributed throughout all areas of the lesions, mainly in keratocystic odontogenic tumor. In addition, the total density of mast cells between all odontogenic tumors showed no significant difference (p > 0.05). A greater mast cells distribution was found in keratocystic odontogenic tumor in relation to adenomatoid odontogenic tumor (p < 0.01), and when the unicystic ameloblastoma and keratocistic odontogenic tumor were compared to the odontogenic myxoma (p < 0.05). Syndrome keratocystic odontogenic tumor showed a higher mean of mast cells when compared with the other tumors of the sample. Mast cells values presented by syndrome keratocystic odontogenic tumor were significantly greater than those of the sporadic keratocystic odontogenic tumor that were not associated with the syndrome (p = 0.03). Mast cells are probably one of the major components of the stromal scaffold in odontogenic tumors. We found significant differences of mast cells between syndrome nonsyndrome keratocystic odontogenic tumors, although their distribution did not seem to have any influence on the biologic behavior of benign odontogenic tumors.
本研究的目的是调查一系列牙源性肿瘤中肥大细胞的存在情况。采用免疫组织化学方法检测45例牙源性肿瘤中的肥大细胞类胰蛋白酶,并对组间差异进行统计学评估。96%的牙源性肿瘤中存在肥大细胞。实性成釉细胞瘤中的肥大细胞见于围绕更实性和滤泡状上皮岛的肿瘤基质中,有无鳞状化生均可。牙源性混合瘤中肥大细胞较少。在具有囊性结构的牙源性肿瘤中,肥大细胞分布于病变的所有区域,主要见于角化囊性牙源性肿瘤。此外,所有牙源性肿瘤之间肥大细胞的总密度无显著差异(p>0.05)。与腺样牙源性肿瘤相比,角化囊性牙源性肿瘤中肥大细胞分布更多(p<0.01),当将单囊性成釉细胞瘤和角化囊性牙源性肿瘤与牙源性黏液瘤比较时也有差异(p<0.05)。综合征性角化囊性牙源性肿瘤与样本中的其他肿瘤相比,肥大细胞的平均数量更高。综合征性角化囊性牙源性肿瘤的肥大细胞值显著高于非综合征性散发性角化囊性牙源性肿瘤(p=0.03)。肥大细胞可能是牙源性肿瘤间质支架的主要成分之一。我们发现综合征性和非综合征性角化囊性牙源性肿瘤之间肥大细胞存在显著差异,尽管其分布似乎对良性牙源性肿瘤的生物学行为没有任何影响。