Sakamoto Akika, Yamaguchi Yuko, Yamakawa Seiki, Nagatani Mariko, Tamura Kazutoshi
J Toxicol Pathol. 2011 Mar;24(1):81-5. doi: 10.1293/tox.24.81. Epub 2011 Mar 31.
We investigated a highly metastatic ovarian yolk sac carcinoma in a 52-week-old female Crl:CD(SD) rat. Macroscopically, the present case had severe ascites, bilateral ovarian masses and numerous nodules in the abdominal and thoracic cavities. Histopathologically, these masses and nodules were generally composed of two types of cells mimicking a parietal and visceral yolk sac. The parietal cells were round to polygonal, contained eosinophilic droplets and were arranged in nests and cords in the eosinophilic matrix. Both the intracytoplasmic droplets and the matrix were stained positively with PAS. The visceral cells were cylindriform, and proliferated in papillary and tubular patterns and occasionally formed Shiller-Duval body-like structures. In the dissemination sites, the neoplastic cells proliferated on the surface of the various tissues and often infiltrated into deeper parts of the tissues. Immunohistochemically, both neoplastic cells were positive for α-fetoprotein and keratin, and the eosinophilic matrix was positive for laminin. Ultrastructurally, the parietal cells had dilated rough endoplasmic reticulums, which were filled with electron-lucent laminated structures. The visceral cells had poorly to moderately developed intracytoplasmic organelles and were interconnected with desmosomes. Taken together, the present tumor was diagnosed as yolk sac carcinoma arising from the ovary and was characterized by not only high metastasis but also invasive infiltration with biphasic proliferation of the parietal and visceral cells.
我们对一只52周龄的雌性Crl:CD(SD)大鼠的高转移性卵巢卵黄囊癌进行了研究。大体上,该病例有严重腹水、双侧卵巢肿块以及腹腔和胸腔内的大量结节。组织病理学上,这些肿块和结节通常由两种模仿壁层和脏层卵黄囊的细胞组成。壁层细胞呈圆形至多边形,含有嗜酸性小滴,在嗜酸性基质中呈巢状和条索状排列。胞浆内小滴和基质PAS染色均呈阳性。脏层细胞呈圆柱形,以乳头状和管状模式增殖,偶尔形成席勒-杜瓦尔体样结构。在转移部位,肿瘤细胞在各种组织表面增殖,并常浸润到组织深部。免疫组化显示,两种肿瘤细胞甲胎蛋白和角蛋白均呈阳性,嗜酸性基质层粘连蛋白呈阳性。超微结构上,壁层细胞粗面内质网扩张,充满电子透亮的层状结构。脏层细胞胞浆内细胞器发育不良至中等,通过桥粒相互连接。综上所述,该肿瘤被诊断为卵巢来源的卵黄囊癌,其特点不仅是高转移,而且是壁层和脏层细胞双相增殖的浸润性生长。