Makishima Risa, Kondo Hirotaka, Shibuya Hisashi
Laboratory of Veterinary Pathology, Department of Veterinary Medicine, Nihon University, Fujisawa, Kanagawa 252-0813, Japan.
J Vet Med Sci. 2021 Mar 11;83(3):419-426. doi: 10.1292/jvms.20-0493. Epub 2021 Jan 4.
Histiocytic sarcoma was investigated histopathologically and immunohistochemically in 17 four-toed hedgehogs (Atelerix albiventris), along with a review of their clinical data. Cases were histopathologically classified into two types: round-polygonal cell type (6 cases) and spindle cell type (11 cases). Round-polygonal cell type was found in visceral organs such as the spleen, lymph nodes, and more, and most cases of this type were consistent with disseminated histiocytic sarcoma. On the other hand, spindle cell type occurred mainly in skin, and almost all cases were consistent with localized histiocytic sarcoma. The prognosis of patients with round-polygonal cell type appeared worse than that of spindle cell type. Immunohistochemically, neoplastic cells of spindle cell type showed stronger reactivity against human leukocyte antigen-DR than round-polygonal cell type. Neoplastic cells of all cases showed strong reactivity against ionized calcium-binding adapter molecule-1 (Iba-1) and various reactivities against cluster of differentiation (CD) 204. Regardless of morphological classification, most tumor cells were negative for CD163, suggesting that this marker is less effective for the diagnosis of histiocytic sarcoma. The results of this study suggest that Iba-1 is the most effective marker for histiocytic sarcoma.
对17只四趾刺猬(非洲猬属)的组织细胞肉瘤进行了组织病理学和免疫组织化学研究,并回顾了它们的临床数据。病例在组织病理学上分为两种类型:圆形-多边形细胞型(6例)和梭形细胞型(11例)。圆形-多边形细胞型见于脾脏、淋巴结等内脏器官,该类型的大多数病例符合播散性组织细胞肉瘤。另一方面,梭形细胞型主要发生于皮肤,几乎所有病例符合局限性组织细胞肉瘤。圆形-多边形细胞型患者的预后似乎比梭形细胞型更差。免疫组织化学方面,梭形细胞型的肿瘤细胞对人白细胞抗原-DR的反应性比圆形-多边形细胞型更强。所有病例的肿瘤细胞对离子钙结合衔接分子-1(Iba-1)均表现出强反应性,对分化簇(CD)204表现出不同程度的反应性。无论形态学分类如何,大多数肿瘤细胞CD163呈阴性,提示该标志物对组织细胞肉瘤的诊断效果较差。本研究结果表明,Iba-1是组织细胞肉瘤最有效的标志物。