Ohtsuki Y, Mizobuchi T, Taniyama K, Tahara E, Akagi T
Gan No Rinsho. 1985 Oct;31(13):1721-6.
A case of lobular carcinoma containing many endocrine granules in the breast of a 76-year-old woman is reported. Histologically, tumor cells proliferated in solid or nest-like patterns featuring lobular carcinoma. Although argyrophilic and immunohistochemical reactions for peptide hormones were negative, electron microscopic observation revealed endocrine granules, 200-400 nm in diameter, associated with a limiting membrane and a halo in every tumor cell examined. It was suggested that this case might be considered a variant of lobular carcinoma and that breast cancer showing lobular patterns should be searched for the possibility of endocrine differentiation.
报告了一例76岁女性乳腺小叶癌,其肿瘤细胞含有许多内分泌颗粒。组织学上,肿瘤细胞呈实性或巢状增殖,具有小叶癌特征。尽管肽类激素的嗜银反应和免疫组化反应均为阴性,但电镜观察显示,在所检查的每个肿瘤细胞中均有直径为200 - 400 nm的内分泌颗粒,伴有界膜和晕。提示该病例可能被视为小叶癌的一种变异型,对于表现为小叶形态的乳腺癌应探寻其内分泌分化的可能性。