Martinez-Tello F J, Navas-Palacios J J
Virchows Arch A Pathol Anat Histol. 1982;396(2):197-211. doi: 10.1007/BF00431241.
Five cases of conventional chondrosarcomas (CS.) of graded malignancy, 3 cases of myxoid CS. and 2 cases of mesenchymal CS. were studied by electron-microscopy. The chondrocyte like tumor cells of conventional CS. were characterized by: an ovoid shape, eccentric nucleus, abundant endoplasmic reticulum with dilated cisternae of RER; cytoplasmic glycogen, lipid droplets, and filaments plus numerous thin cytoplasmic projections. The histologically high grade tumors showed fewer cytoplasmic organelles, bizarre nuclei and more prominent nucleoli than the better differentiated ones. The tumor cells of myxoid CS. were chiefly fusiform. The cells frequently presented a pattern of rows with good cellular cohesion, and scanty cytoplasmic projections. The most prominent cytoplasmic feature was a conspicuous RER. Abundant cytoplasmic filaments and cytoplasmic glycogen were also observed. The undifferentiated areas of the mesenchymal CS. showed primitive mesenchymal cells with rounded nuclei, and scanty cytoplasm which was poor in organelles and glycogen. The cytoplasmic membranes were very cohesive and cytoplasmic projections were not present. Scanty cytoplasmic filaments and conspicuous desmosome like junctions were observed. The intercellular matrix of conventional and myxoid CS. consisted of fibrils, glycosaminoglycan granules and collagen fibers. In the undifferentiated zones of the mesenchymal CS. the intercellular matrix was very scanty and did not contain collagen fibrils. The more immature cells correspond to the small undifferentiated cells of mesenchymal chondrosarcoma.
对5例不同恶性程度的传统型软骨肉瘤、3例黏液样软骨肉瘤和2例间叶型软骨肉瘤进行了电子显微镜研究。传统型软骨肉瘤中类似软骨细胞的肿瘤细胞具有以下特征:呈卵圆形,核偏位,内质网丰富,粗面内质网池扩张;胞质内有糖原、脂滴和细丝,还有许多细小的胞质突起。组织学上高级别肿瘤的胞质细胞器比分化较好的肿瘤少,核怪异,核仁更明显。黏液样软骨肉瘤的肿瘤细胞主要为梭形。细胞常呈成排排列模式,细胞间黏附良好,胞质突起稀少。胞质最显著的特征是粗面内质网明显。还观察到丰富的胞质细丝和胞质糖原。间叶型软骨肉瘤的未分化区域可见原始间叶细胞,核圆形,胞质稀少,细胞器和糖原含量低。细胞膜黏附性很强,没有胞质突起。观察到少量胞质细丝和明显的桥粒样连接。传统型和黏液样软骨肉瘤的细胞间基质由纤维、糖胺聚糖颗粒和胶原纤维组成。在间叶型软骨肉瘤的未分化区域,细胞间基质非常稀少,不含胶原纤维。较不成熟的细胞对应于间叶型软骨肉瘤的小未分化细胞。