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犬甲状腺癌中的甲状腺球蛋白和降钙素免疫反应性

Thyroglobulin and calcitonin immunoreactivity in canine thyroid carcinomas.

作者信息

Moore F M, Kledzik G S, Wolfe H J, DeLellis R A

出版信息

Vet Pathol. 1984 Mar;21(2):168-73. doi: 10.1177/030098588402100206.

DOI:10.1177/030098588402100206
PMID:6375099
Abstract

Although thyroid gland neoplasms are well-recognized entities in dogs, the diagnosis and classification of these tumors often is difficult. In contrast to human thyroid carcinomas, which are predominantly of the papillary or follicular types, a relatively high proportion of the canine tumors contain compact cellular areas and resemble, to some extent, medullary thyroid carcinomas. In order to assess the value of immunohistochemical techniques in the identification and classification of these neoplasms, 21 canine thyroid carcinomas were examined for the presence of thyroglobulin and calcitonin using the peroxidase-antiperoxidase technique. Four major patterns of thyroglobulin immunoreactivity were present in the tumors, including diffuse cytoplasmic positive reaction, apical staining in the cells bordering the neoplastic follicular lumens, intracytoplasmic droplet staining, and staining of intrafollicular colloid. All follicular and mixed compact cellular/follicular tumors contained immunoreactive hormone, while only four of six compact cellular carcinomas were thyroglobulin-positive. The extent of thyroglobulin reactivity was consistently greater in tumors of the follicular and mixed patterns than in carcinomas of the purely compact cellular type. Two of four metastases, each of which retained the mixed pattern of the primary tumors, were thyroglobulin-positive. No medullary thyroid carcinomas were identified, but scattered calcitonin-positive cells in one mixed and in one compact cellular tumor were interpreted as entrapped nonneoplastic C cells. Immunohistochemical localization of thyroglobulin should facilitate the diagnosis of canine tumors of suspected thyroid follicular cell origin, particularly those arising in ectopic sites (i.e., heart base) and those presenting as metastases.

摘要

虽然甲状腺肿瘤在犬类中是公认的疾病,但这些肿瘤的诊断和分类往往很困难。与人类甲状腺癌主要为乳头状或滤泡状不同,相当一部分犬类肿瘤含有致密细胞区域,在某种程度上类似于甲状腺髓样癌。为了评估免疫组织化学技术在这些肿瘤的识别和分类中的价值,使用过氧化物酶-抗过氧化物酶技术对21例犬甲状腺癌进行了甲状腺球蛋白和降钙素检测。肿瘤中存在四种主要的甲状腺球蛋白免疫反应模式,包括弥漫性细胞质阳性反应、肿瘤滤泡腔边缘细胞的顶端染色、细胞质内液滴染色和滤泡内胶体染色。所有滤泡性和混合性致密细胞/滤泡性肿瘤均含有免疫反应性激素,而六例致密细胞癌中只有四例甲状腺球蛋白呈阳性。滤泡性和混合性肿瘤中甲状腺球蛋白反应的程度始终高于纯致密细胞型癌。四个转移灶中有两个保留了原发肿瘤的混合模式,甲状腺球蛋白呈阳性。未发现甲状腺髓样癌,但在一个混合性和一个致密细胞性肿瘤中散在的降钙素阳性细胞被解释为陷入的非肿瘤性C细胞。甲状腺球蛋白的免疫组织化学定位应有助于诊断疑似甲状腺滤泡细胞起源的犬类肿瘤,特别是那些发生在异位部位(即心底)和以转移形式出现的肿瘤。

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