Matsushita Kohei, Toyoda Takeshi, Inoue Kaoru, Morikawa Tomomi, Sone Mizuki, Ogawa Kumiko
Division of Pathology, National Institute of Health Sciences, 1-18-1 Kamiyoga, Setagaya-ku, Tokyo 158-8501, Japan.
Division of Pathology, National Institute of Health Sciences, 1-18-1 Kamiyoga, Setagaya-ku, Tokyo 158-8501, Japan; Laboratory of Veterinary Pathology, Tokyo University of Agriculture and Technology, 3-5-8 Saiwai-cho, Fuchu-shi, Tokyo183-8509, Japan.
J Toxicol Pathol. 2017 Jan;30(1):57-62. doi: 10.1293/tox.2016-0042. Epub 2016 Oct 15.
Spontaneous massive infarction of mammary gland tumors has been reported to occur infrequently in humans. A subcutaneous mass (18 × 17 × 10 mm) was observed in the right axilla extending to the chest region of a 110-week-old female Wistar Hannover GALAS rat. Histopathologically, a well-circumscribed mass with lobular structures was present in the subcutis. Most of the mass was occupied by extensive coagulative necrosis of neoplastic cells with relatively uniform acinar and ductal structures. Although each necrotic acinar structure was separated by reticular fibers, periacinar stromal collagen fibers were not abundant. Considering the site of occurrence and histological features, the necrotic tissue was diagnosed as adenoma of the mammary gland. The necrotic region lacked hemorrhage and obvious inflammatory cell infiltration, indicating the necrosis was caused by infarction. Although multiple necrosis and focal infarction are occasionally observed in large-sized tumors in rodents, especially in adenocarcinomas, the present case was characteristic, with the massive infarction involving most parts of the tumor despite the relatively small size and low atypia of neoplastic cells. This is a rare case of spontaneous infarcted adenoma of the mammary gland in rats histologically resembling human cases.
据报道,乳腺肿瘤的自发性大面积梗死在人类中很少发生。在一只110周龄的雌性Wistar Hannover GALAS大鼠的右腋窝观察到一个皮下肿块(18×17×10毫米),该肿块延伸至胸部区域。组织病理学检查显示,皮下存在一个边界清晰的小叶状结构肿块。肿块的大部分区域被肿瘤细胞的广泛凝固性坏死占据,肿瘤细胞具有相对均匀的腺泡和导管结构。尽管每个坏死的腺泡结构被网状纤维分隔,但腺泡周围的间质胶原纤维并不丰富。考虑到发生部位和组织学特征,坏死组织被诊断为乳腺腺瘤。坏死区域没有出血和明显的炎症细胞浸润,表明坏死是由梗死引起的。尽管在啮齿动物的大型肿瘤中,尤其是腺癌中偶尔会观察到多处坏死和局灶性梗死,但本病例具有特殊性,尽管肿瘤细胞的大小相对较小且异型性较低,但大面积梗死累及了肿瘤的大部分区域。这是一例罕见的大鼠自发性梗死性乳腺腺瘤病例,其组织学表现类似于人类病例。