多形性腺瘤的原代细胞培养与鉴定。病例报告。

Primary cell culture and characterization of a pleomorphic adenoma. A case report.

作者信息

Romero-Servin Selenne, Mendoza-Martínez Nancy Leticia, Villanueva-Sánchez Francisco Germán, Rodríguez-Tapia Ilse Patricia, Cadena-Galeana Aylin Divina, García-Contreras René

机构信息

Interdisciplinary Research Laboratory (LII), Oral and Maxillofacial Pathology area, National School of Higher Studies (ENES) Leon, National Autonomous University of Mexico. Leon, Mexico.

Interdisciplinary Research Laboratory (LII); Nanostructures and Biomaterials area, National School of Higher Studies (ENES) Leon, National Autonomous University of Mexico. leon, Mexico.

出版信息

Rev Cient Odontol (Lima). 2025 Mar 3;13(1):e234. doi: 10.21142/2523-2754-1301-2025-234. eCollection 2025 Jan-Mar.

Abstract

OBJECTIVE

This case report aimed to characterize primary pleomorphic adenoma cells obtained from a parotid gland tumor through tissue biopsy, primary cell culture, and immunohistochemical analysis.

METHODS

A tissue biopsy sample from a 58-year-old patient with pleomorphic adenoma underwent histopathological examination and primary cell culture. The primary cells were characterized through immunohistochemical staining using antibodies against S-100, SMA, Vimentin, and cytokeratin AE1/AE3. Additionally, paraffin-embedded tissue sections were stained using cytokeratin AE1/AE3, Vimentin, Calponin, SMA, S100, and p63.

RESULTS

Primary cell culture revealed weak S-100 staining and positive SMA in myoepithelial cells, while Vimentin and AE1/AE3 were negative in all the cell population. In the paraffin-embedded tissue, cytokeratin exhibited strong cytoplasmic and membranous positivity in luminal cells. Vimentin showed cytoplasmic staining in myoepithelial cells. S-100 displayed weak nuclear and strong cytoplasmic immunoreactivity in myoepithelial cells. SMA presented weak membranous positivity in a few myoepithelial cells, and finally, p63 showed nuclear staining in abluminal cells. Calponin showed negative staining in neoplastic cells and stroma.

CONCLUSION

The results showed that primary component of pleomorphic adenoma comprises myoepithelial cells. The identification of cell cultured is pivotal in comprehending the cellular components of these neoplasms. This comprehensive characterization of primary pleomorphic adenoma cells provides insights into their morphology, immunophenotype, and histological features.

摘要

目的

本病例报告旨在通过组织活检、原代细胞培养和免疫组织化学分析,对从腮腺肿瘤获取的原发性多形性腺瘤细胞进行特征描述。

方法

对一名58岁多形性腺瘤患者的组织活检样本进行组织病理学检查和原代细胞培养。使用抗S-100、平滑肌肌动蛋白(SMA)、波形蛋白和细胞角蛋白AE1/AE3的抗体,通过免疫组织化学染色对原代细胞进行特征鉴定。此外,对石蜡包埋的组织切片使用细胞角蛋白AE1/AE3、波形蛋白、钙调蛋白、SMA、S100和p63进行染色。

结果

原代细胞培养显示肌上皮细胞中S-100染色弱阳性,SMA阳性,而波形蛋白和AE1/AE3在所有细胞群体中均为阴性。在石蜡包埋组织中,细胞角蛋白在管腔细胞中显示强细胞质和膜阳性。波形蛋白在肌上皮细胞中显示细胞质染色。S-100在肌上皮细胞中显示弱阳性核反应和强细胞质免疫反应。SMA在少数肌上皮细胞中显示弱膜阳性,最后,p63在腔外细胞中显示核染色。钙调蛋白在肿瘤细胞和基质中显示阴性染色。

结论

结果表明多形性腺瘤的主要成分包括肌上皮细胞。鉴定培养的细胞对于理解这些肿瘤的细胞成分至关重要。对原发性多形性腺瘤细胞的这种全面特征描述为其形态、免疫表型和组织学特征提供了见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee8/11994098/db0809eb776e/odontologica-13-01-e234-gf1.jpg

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