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[乳腺两性分泌性、黏液样及嗜银性肿瘤。2例的组织化学和超微结构研究]

[Amphicrine, mucoid and argyrophile tumors of the breast. Histochemical and ultrastructural study of 2 cases].

作者信息

Berger G, Frappart L, Guillaud M, Mallet-Guy Y, Patricot L M, Feroldi J

出版信息

Ann Pathol. 1982;2(3):213-22.

PMID:6289847
Abstract

The authors report two cases of mucoargyrophilic carcinomas of the breast, occurring in 73 and 81 year old women. Both tumors consist of a central mucoid carcinoma surrounded by solid areas with lobular or endocrinoid features. Most cells showed an abundant eosinophilic granular cytoplasm or a mucinous appearance. The histochemical reactions (Grimelius-Alcian Blue, Grimelius-Mucicarmine) and the ultrastructural study of the peripheral areas disclosed several cell types: poorly differentiated or mucinous cells were present in both cases; but most of the cells were argyrophilic and contained in their hyaloplasm numerous dense core "neurosecretory" granules; such cells revealed many microfilaments arranged in bundles or in whorls. Amphicrine cells were easily demonstrated by histochemical staining and their cytoplasm showed both endocrine granules and mucinous vesicles. These features suggest a possible relationship to other argyrophilic tumors of the breast. The histogenesis of these tumors is still little known.

摘要

作者报告了两例乳腺嗜银性癌,患者为73岁和81岁女性。两例肿瘤均由中央黏液癌组成,周围为具有小叶或内分泌样特征的实性区域。大多数细胞表现出丰富的嗜酸性颗粒状胞质或黏液样外观。组织化学反应(格里米柳斯-阿尔辛蓝、格里米柳斯-黏液卡红)及周边区域的超微结构研究揭示了几种细胞类型:两例均存在低分化或黏液样细胞;但大多数细胞嗜银,透明质质中含有大量致密核心“神经分泌”颗粒;此类细胞可见许多成束或呈漩涡状排列的微丝。通过组织化学染色很容易证实双分泌细胞的存在,其胞质显示既有内分泌颗粒又有黏液小泡。这些特征提示其与乳腺其他嗜银性肿瘤可能存在关联。这些肿瘤的组织发生仍鲜为人知。

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