Shiraki Katsuhisa, Ono Mihoko, Kajikawa Satoru, Takeuchi Ayano, Murakami Yuichi, Oishi Yuji, Matsumoto Masahiro
Drug Safety Research Laboratories, Astellas Pharma Inc., 1-6 Kashima 2-chome, Yodogawa-ku, Osaka 532-8514, Japan.
J Toxicol Pathol. 2012 Dec;25(4):273-6. doi: 10.1293/tox.25.273. Epub 2012 Dec 20.
The present report describes a rare case of spontaneous hemangiosarcoma in a nine-week-old male Sprague-Dawley rat. At necropsy, multiple white nodules of various sizes were observed on and within the enlarged spleen and liver and were histopathologically determined to be composed of spindle- to oval-shaped cells that showed invasive growth without encapsulation and were arranged solidly but partially in whorls or faint alveolar patterns with vascular-like spaces containing small clefts or erythrocytes in the tumor mass. Immunohistochemical analysis revealed that most of the tumor cells were strongly positive for vimentin, von Willebrand factor (vWF) and CD34 but negative for podoplanin. In addition, electron microscopic examination revealed the presence of Weibel-Palade bodies in the cytoplasm of the tumor cells. Based on these findings, this case was diagnosed as a hemangiosarcoma. The splenic masses were larger than the hepatic ones, with tumor cells mainly observed at periportal regions with tumor embolism in the liver, suggesting that primary hemangiosarcoma initially developed in the spleen before metastasizing.
本报告描述了一例罕见的9周龄雄性斯普拉格-道利大鼠自发性血管肉瘤病例。尸检时,在肿大的脾脏和肝脏表面及内部观察到多个大小不一的白色结节,组织病理学检查确定其由梭形至椭圆形细胞组成,这些细胞呈浸润性生长,无包膜,紧密排列但部分呈漩涡状或微弱的肺泡样结构,肿瘤团块中有含小裂隙或红细胞的血管样间隙。免疫组织化学分析显示,大多数肿瘤细胞波形蛋白、血管性血友病因子(vWF)和CD34呈强阳性,而血小板内皮细胞黏附分子呈阴性。此外,电子显微镜检查显示肿瘤细胞胞质内存在魏贝尔-帕拉德小体。基于这些发现,该病例被诊断为血管肉瘤。脾脏肿块比肝脏肿块大,肿瘤细胞主要见于肝脏门静脉周围区域并伴有肿瘤栓塞,提示原发性血管肉瘤最初在脾脏发生,然后转移。