Kawashima Masashi, Segawa Risa, Yoshida Toshinori, Murayama Hirotada, Nagahara Rei, Kimura Masayuki, Endo Natsumi, Tanaka Tomomi, Shibutani Makoto
Laboratory of Veterinary Pathology, Tokyo University of Agriculture and Technology, 3-5-8 Saiwai-cho, Fuchu-shi, Tokyo 183-8509, Japan.
Pathogenetic Veterinary Science, United Graduate School of Veterinary Sciences, Gifu University, 1-1 Yanagido, Gifu-shi, Gifu 501-1193, Japan.
J Vet Med Sci. 2017 Jun 29;79(6):1091-1095. doi: 10.1292/jvms.17-0015. Epub 2017 May 19.
An 11-year-old female goat had invasive and metastatic endometrial adenocarcinoma in the uterus. There was a notable proliferation of endometrial epithelial cells in a tubular growth pattern, with a desmoplastic response. The endometrial epithelial tumor cells metastasized to the kidney, liver and lung. In contrast to the primary and metastatic tumor cells, pleomorphic tumor cells with a choriocarcinoma-like growth pattern infiltrated the mesometrium. Cell proliferation activity was high in both types of tumor cells. Both types of tumor cells expressed cytokeratins AE1/AE3, 7 and CAM5.2; choriocarcinomatous cells also had positive immunoreactions to human chorionic gonadotropin, human placental alkaline phosphatase and α-inhibin. The present case was diagnosed as endometrial adenocarcinoma with choriocarcinomatous differentiation.
一只11岁的雌性山羊子宫内患有浸润性和转移性子宫内膜腺癌。子宫内膜上皮细胞呈管状生长模式显著增殖,并伴有促纤维增生反应。子宫内膜上皮肿瘤细胞转移至肾脏、肝脏和肺。与原发性和转移性肿瘤细胞不同,具有绒毛膜癌样生长模式的多形性肿瘤细胞浸润子宫系膜。两种类型的肿瘤细胞增殖活性均较高。两种类型的肿瘤细胞均表达细胞角蛋白AE1/AE3、7和CAM5.2;绒毛膜癌样细胞对人绒毛膜促性腺激素、人胎盘碱性磷酸酶和α-抑制素也有阳性免疫反应。本病例诊断为伴有绒毛膜癌样分化的子宫内膜腺癌。