Patnaik A K
Department of Pathology, Animal Medical Center, New York, NY.
Vet Pathol. 1993 Mar;30(2):176-85. doi: 10.1177/030098589303000211.
In a retrospective study, granular cell tumors in six dogs (Nos. 1-6), three cats (Nos. 1-3), one horse (No. 1), and one cockatiel (Nymphicus hollandicus) (No. 1) and a meningioma with a granular cell component in one dog (No. 7) were examined histologically and immunohistochemically. These tumors were identified by histologic examination of surgical biopsy specimens, except in the horse, in which the tumor was an incidental finding at necropsy. These diagnoses were initially made by more than one pathologist. Five of the six granular cell tumors in the dogs were in the oral cavity; one of these was in the maxillary gingiva of a 6-month-old puppy. The tumors in the cats were located in the tongue, vulva, and digit. The tumor in the horse was in the lung, and the tumor in the cockatiel was in the periocular tissue. Histologically, all granular cell tumors were characterized by oval to polygonal cells of various sizes. The cells had abundant, pale, eosinophilic cytoplasm with distinct intracytoplasmic granules, distinct cell margins, and mostly central nuclei. In the dogs, the gingival tumor had a large amount of collagen tissue, the tumor in the tongue had dilated blood vessels, and the maxillary tumor in the puppy was more cellular than the other tumors. The tumors in the cats were more anaplastic than the other tumors; one, located in the digit, was considered malignant. The granules in all of the tumors stained with periodic acid-Schiff and were diastase resistant. On staining with Luxol fast blue, the granules of all tumors stained different shades of pink, with the exception of the tumor in the tongue of a cat, which stained bluish green. Immunocytochemically, all tumors except the tumor in the cockatiel reacted against antibodies to vimentin. The granular cell tumor in the lung of the horse and the intracranial meningioma in a dog reacted to the antibody S-100 protein; the tumor in the horse reacted to neuron-specific enolase; tumors in two dogs (gingiva and skin) reacted to L-antitrypsin, and the maxillary tumor also reacted to lysozyme; the malignant tumor in the digit of a cat and the periocular tumor in the cockatiel reacted to muscle common actin and actin; the tumor in the cockatiel also reacted to desmin. Results of these immunocytochemical studies suggest that granular cell tumors, like tumors composed of rhabdoid cells, clear cells, and oncocytes, can have similar morphologic features but be of different cellular origins.
在一项回顾性研究中,对6只犬(编号1 - 6)、3只猫(编号1 - 3)、1匹马(编号1)、1只鸡尾鹦鹉(虎皮鹦鹉)(编号1)的颗粒细胞瘤以及1只犬(编号7)的具有颗粒细胞成分的脑膜瘤进行了组织学和免疫组织化学检查。除马的肿瘤是在尸检时偶然发现外,这些肿瘤均通过手术活检标本的组织学检查得以确诊。这些诊断最初由不止一位病理学家做出。犬的6个颗粒细胞瘤中有5个位于口腔;其中1个位于一只6个月大幼犬的上颌牙龈。猫的肿瘤分别位于舌、外阴和趾部。马的肿瘤位于肺部,鸡尾鹦鹉的肿瘤位于眼周组织。组织学上,所有颗粒细胞瘤的特征是细胞大小各异,呈椭圆形至多边形。细胞具有丰富、淡染的嗜酸性细胞质,胞质内有明显的颗粒,细胞边界清晰,细胞核大多位于中央。在犬中,牙龈肿瘤有大量胶原组织,舌部肿瘤有扩张的血管,幼犬的上颌肿瘤比其他肿瘤细胞更多。猫的肿瘤比其他肿瘤的间变程度更高;其中1个位于趾部的肿瘤被认为是恶性的。所有肿瘤中的颗粒经高碘酸 - 希夫染色呈阳性且对淀粉酶不敏感。用卢戈氏坚牢蓝染色时,除猫舌部肿瘤染成蓝绿色外,所有肿瘤的颗粒均染成不同深浅的粉红色。免疫细胞化学方面,除鸡尾鹦鹉的肿瘤外,所有肿瘤对波形蛋白抗体均有反应。马肺部的颗粒细胞瘤和一只犬的颅内脑膜瘤对S - 100蛋白抗体有反应;马的肿瘤对神经元特异性烯醇化酶有反应;两只犬(牙龈和皮肤)的肿瘤对L - 抗胰蛋白酶有反应,上颌肿瘤对溶菌酶也有反应;猫趾部的恶性肿瘤和鸡尾鹦鹉的眼周肿瘤对肌肉共同肌动蛋白和肌动蛋白有反应;鸡尾鹦鹉的肿瘤对结蛋白也有反应。这些免疫细胞化学研究结果表明,颗粒细胞瘤与由横纹肌样细胞、透明细胞和嗜酸性细胞组成的肿瘤一样,可能具有相似的形态特征,但细胞起源不同。