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迷你腊肠犬大肠炎性息肉的病理特征

Pathologic Features of Colorectal Inflammatory Polyps in Miniature Dachshunds.

作者信息

Uchida E, Chambers J K, Nakashima K, Saito T, Ohno K, Tsujimoto H, Nakayama H, Uchida K

机构信息

Department of Veterinary Pathology, Graduate School of Agricultural and Life Sciences, University of Tokyo, Tokyo, Japan.

Veterinary Medical Center, Graduate School of Agricultural and Life Sciences, University of Tokyo, Tokyo, Japan Japan Small Animal Medical Center, Saitama, Japan.

出版信息

Vet Pathol. 2016 Jul;53(4):833-9. doi: 10.1177/0300985815618436. Epub 2016 Jan 20.

Abstract

The histopathologic characteristics of colorectal inflammatory polyps that formed in Miniature Dachshunds were compared with those of other colorectal proliferative lesions, including adenomas and adenocarcinomas. Fifty-three colorectal polypoid lesions were histopathologically classified into inflammatory polyps (26 cases), adenoma (18 cases), and adenocarcinoma (9 cases). All 26 dogs that were diagnosed with inflammatory polyps were Miniature Dachshunds, indicating that colorectal inflammatory polyps exhibit a marked predilection for this breed. The inflammatory polyps had complex histopathologic features and were classified into 3 stages based on their epithelial composition. In early stage (stage 1), the polyps tended to exhibit a thickened mucosa containing hyperplastic goblet cells, dilated crypts filled with a large amount of mucus, and mild lymphocyte and macrophage infiltration. In later stages (stages 2 and 3), more severe neutrophil infiltration, interstitial mucus accumulation, granulation tissue, and occasional osteoid tissue were seen. Also, a few small foci of dysplastic epithelial cells were detected. The hyperplastic goblet cells, which were a major component of the epithelium of the inflammatory polyps, were positive for cytokeratin 20 (CK20), while the dysplastic epithelial cells found in inflammatory polyps (stage 3) and the tumor cells of the adenomas and adenocarcinomas were negative for CK20. These CK20-negative epithelial cells exhibited cytoplasmic and nuclear immunoreactivity for beta-catenin. In addition, the epithelial cells in the inflammatory polyps demonstrated significantly higher cyclooxygenase 2 and fibroblast growth factor 2 expression than did those of the adenomas and adenocarcinomas, suggesting that the arachidonate cascade is involved in the development of colorectal inflammatory polyps in miniature dachshunds.

摘要

将迷你腊肠犬中形成的大肠炎性息肉的组织病理学特征与其他大肠增生性病变(包括腺瘤和腺癌)的组织病理学特征进行了比较。53个大肠息肉样病变经组织病理学分类为炎性息肉(26例)、腺瘤(18例)和腺癌(9例)。所有26只被诊断为炎性息肉的犬均为迷你腊肠犬,这表明大肠炎性息肉对该品种具有明显的偏好。炎性息肉具有复杂的组织病理学特征,并根据其上皮成分分为3个阶段。在早期阶段(1期),息肉倾向于表现为黏膜增厚,含有增生的杯状细胞、充满大量黏液的扩张腺管,以及轻度淋巴细胞和巨噬细胞浸润。在后期阶段(2期和3期),可见更严重的中性粒细胞浸润、间质黏液积聚、肉芽组织,偶尔还有类骨组织。此外,还检测到一些发育异常的上皮细胞小灶。炎性息肉上皮的主要成分增生性杯状细胞细胞角蛋白20(CK20)呈阳性,而炎性息肉(3期)中发现的发育异常上皮细胞以及腺瘤和腺癌的肿瘤细胞CK20呈阴性。这些CK20阴性上皮细胞β-连环蛋白呈细胞质和细胞核免疫反应阳性。此外,炎性息肉中的上皮细胞环氧化酶2和成纤维细胞生长因子2表达明显高于腺瘤和腺癌中的上皮细胞,这表明花生四烯酸级联反应参与了迷你腊肠犬大肠炎性息肉的发生发展。

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