Toida M, Takeuchi J, Hara K, Sobue M, Tsukidate K, Goto K, Nakashima N
Virchows Arch A Pathol Anat Histopathol. 1984;403(1):15-26. doi: 10.1007/BF00689335.
In 41 salivary gland tumors, the characteristics of the intercellular components and vascular endothelial cells were surveyed by immunohistochemical staining for laminin and factor VIII-related antigen (VIII R:Ag), and by mucopolysaccharidase-digestion for glycosaminoglycan (GAG). In myxomatous areas of pleomorphic adenomas, small vessels (diameter 6.5 +/- 0.11 micron) were frequent and found to be negative or weakly positive by VIIIR:Ag staining although endothelial cells were clearly positive for VIIIR:Ag in capsule surrounding the tumor tissues. Alcian blue stainability was diminished by treatment with both Streptomyces hyaluronidase and chondroitinase. By laminin staining, a vascular pattern was clearly detected, but the majority of tumor cells were not stained. In adenomatous areas, the basement membrane-like linear laminin-staining reaction was observed to be weak and inconsistent around some tumor cell nests. However, in adenoid cystic carcinomas, laminin-positivity was much more intense than in other tumors such as pleomorphic adenoma, mucoepidermoid tumor and adenocarcinoma. In cylindromatous areas, the inner luminal surface in the pseudocysts was markedly positive for laminin, and there was weak positivity around tumor cell nests having a trabecular pattern. By immunoelectron microscopy, a juxtacellular network of replicated basal lamina of tumor cells which lined the inner surface of pseudocysts was positive for laminin. Alcian blue-positivity in the pseudocyst was abolished with heparitinase and chondroitinase, but not with hyaluronidase.
对41例涎腺肿瘤,通过免疫组织化学染色检测层粘连蛋白和VIII因子相关抗原(VIII R:Ag),以及通过黏多糖酶消化检测糖胺聚糖(GAG),以观察细胞间成分和血管内皮细胞的特征。在多形性腺瘤的黏液样区域,小血管(直径6.5±0.11微米)常见,VIII R:Ag染色显示为阴性或弱阳性,尽管肿瘤组织周围包膜中的内皮细胞VIII R:Ag呈明显阳性。用透明质酸酶和软骨素酶处理后,阿尔辛蓝染色性降低。通过层粘连蛋白染色,可清晰检测到血管模式,但大多数肿瘤细胞未被染色。在腺瘤样区域,在一些肿瘤细胞巢周围观察到基底膜样的线性层粘连蛋白染色反应较弱且不一致。然而,在腺样囊性癌中,层粘连蛋白阳性比多形性腺瘤、黏液表皮样肿瘤和腺癌等其他肿瘤更为强烈。在圆柱瘤区域,假囊肿的内表面层粘连蛋白明显阳性,呈小梁状模式的肿瘤细胞巢周围呈弱阳性。通过免疫电子显微镜观察,假囊肿内表面衬里的肿瘤细胞复制基底膜的近细胞网络层粘连蛋白呈阳性。假囊肿中的阿尔辛蓝阳性用硫酸乙酰肝素酶和软骨素酶处理后消失,但用透明质酸酶处理后未消失。