Takai Yuichi, Sano Tomoya, Watanabe Takeshi
Drug Safety Research and Evaluation, Takeda Pharmaceutical Company Limited, 26-1 Muraoka-Higashi 2 Chome, Fujisawa, Kanagawa 251-8555, Japan.
J Toxicol Pathol. 2020 Jan;33(1):33-37. doi: 10.1293/tox.2019-0065. Epub 2019 Nov 8.
A rare spontaneous hepatic leiomyosarcoma with osteosarcomatous differentiation was observed in a female beagle dog and its morphological and immunohistochemical characteristics were examined. Upon necropsy, an endoceliac mass originating from the liver was detected, which was composed of hematoid fluid-filled cysts and white to grayish solid tissue. There were no macroscopic findings in other organ systems. Histopathologically, the hepatic mass consisted of two different mesenchymal components. One form was spindle cells arranged in interlacing fascicles immunohistochemically positive for smooth muscle actin (SMA) and smoothelin, indicating leiomyosarcomatous differentiation. The other form was composed of short spindle cells positive for S-100 and was producing various amounts of eosinophilic osteoid and trabecula-like matrices positive for osteocalcin, indicating osteosarcomatous differentiation. In addition, invasive growth in the hepatic parenchyma and cell atypia were observed. Based on these findings, the mass was diagnosed as hepatic leiomyosarcoma with osteosarcomatous differentiation (malignant mesenchymoma), which might be derived from undifferentiated mesenchymal cells.
在一只雌性比格犬中观察到一例罕见的具有骨肉瘤分化的自发性肝平滑肌肉瘤,并对其形态学和免疫组织化学特征进行了检查。尸检时,发现一个源于肝脏的腹腔内肿块,该肿块由充满血性液体的囊肿和白色至灰白色实性组织组成。其他器官系统未发现宏观病变。组织病理学上,肝脏肿块由两种不同的间充质成分组成。一种形式是梭形细胞,呈交织束状排列,免疫组织化学检测平滑肌肌动蛋白(SMA)和平滑肌肌动蛋白(smoothelin)呈阳性,表明有平滑肌肉瘤分化。另一种形式由S-100阳性的短梭形细胞组成,并产生各种数量的嗜酸性类骨质和骨钙素阳性的小梁样基质,表明有骨肉瘤分化。此外,观察到肝实质内的浸润性生长和细胞异型性。基于这些发现,该肿块被诊断为具有骨肉瘤分化的肝平滑肌肉瘤(恶性间叶瘤),可能起源于未分化的间充质细胞。