Nakamura Toshitsugu
Department of Pathology, Suwa Red Cross Hospital Suwa, Japan.
Int J Clin Exp Pathol. 2012;5(8):840-4. Epub 2012 Oct 1.
A peculiar case of bladder carcinoma showing shadow cell differentiation (SCD) in a 72-year-old man is presented. The tumor histologically revealed high grade urothelial carcinoma (UC) and partially contained squamous component with a transition to shadow cell nests, similar to those seen in cutaneous pilomatricoma (PMX). Immunohistochemically, the modes of cell death in the component of SCD were identical to those in PMX. The present case as well as 10 cases of cutaneous PMX showed nuclear expression of beta-catenin, whereas 10 cases of bladder UC with squamous differentiation revealed membranous localization without nuclear expression. These results suggest that nuclear accumulation of beta-catenin may play an important role for SCD in the present case. SCD in extracutaneous tumor is extremely rare and, in the literature, the present case is the second one as for bladder carcinoma.
本文报告了一例72岁男性膀胱移行细胞癌呈现影细胞分化(SCD)的特殊病例。肿瘤组织学检查显示为高级别尿路上皮癌(UC),部分包含鳞状成分,并过渡为影细胞巢,类似于皮肤毛母质瘤(PMX)所见。免疫组化显示,SCD成分中的细胞死亡模式与PMX相同。本病例以及10例皮肤PMX显示β-连环蛋白的核表达,而10例伴有鳞状分化的膀胱UC显示膜定位而无核表达。这些结果表明,β-连环蛋白的核积累可能在本病例的SCD中起重要作用。皮肤外肿瘤中的SCD极为罕见,在文献中,本病例是膀胱移行细胞癌的第二例。