Sharashidze L K, Topuriia I V, Raĭkhlin N T
Arkh Patol. 1984;46(7):43-9.
Ultrastructural analysis of mammary carcinoma (45 cases) and its metastasis in the lymph nodes (21 cases) revealed the tissue specific features of the mammary gland: big ducts and intercellular canaliculi, microvilli, various specialized cell-to-cell contacts, basal membrane. Tissue specific features are not associated with a certain organ. In mammary carcinoma, they are more pronounced in carcinomas in situ, invasive tumours of the 1st grade of malignancy (adenocarcinoma) and specific histologic variants. They are less pronounced in solid and scirrhous invasive tumours of the 2nd and especially 3rd grade of malignancy. However it is impossible to conclude about the anaplasia degree on the basis of the number of and the correlation between various tissue specific features. Metastasis retains the capacity of cancer cells to form the tissue specific ultrastructural elements. The tissue specific properties of mammary carcinoma determine the diagnosis in cases when the question on the tissue origin of the tumour is to be solved.
对45例乳腺癌及其21例淋巴结转移灶进行超微结构分析,揭示了乳腺的组织特异性特征:大导管和细胞间小管、微绒毛、各种特殊的细胞间连接、基底膜。组织特异性特征并非与某一特定器官相关。在乳腺癌中,这些特征在原位癌、1级恶性浸润性肿瘤(腺癌)及特定组织学变体中更为明显。在2级尤其是3级恶性的实性和硬癌浸润性肿瘤中则不太明显。然而,不可能根据各种组织特异性特征的数量及其相关性来推断间变程度。转移灶保留了癌细胞形成组织特异性超微结构成分的能力。当需要解决肿瘤的组织来源问题时,乳腺癌的组织特异性特性有助于诊断。