Mucin-producing bronchioloalveolar-cell carcinoma. With special reference to a characteristic structure revealed by phosphotungstic acid-hematoxylin staining.

In four cases of bronchioloalveolar-cell carcinoma of the mucin-producing type, the cells were characterized electron microscopically by cored microvilli seen on the free surface of the tumor cells, structures that corresponded well to the phosphotungstic acid-hematoxylin (PTAH) stained structures seen by light microscopy in histologic specimens. The exfoliative cytology specimens contained corresponding PTAH-stained structures on the cell surfaces, namely, a prominent cell membrane with a "beaded" or "peg-like" configuration and, in places, a "feathery" nature, findings quite dissimilar to the surfaces of other well-differentiated adenocarcinoma cells. The cytologic specimens also exhibited characteristic nuclear indentations and tightly connected cell groupings. These results indicate the existence of a type of bronchioloalveolar-cell carcinoma not derived from type II alveolar epithelial cells or Clara cells.