scholarly journals Comparative Evaluation of Collagen Fibers in Odontogenic Keratocyst and Unicystic Ameloblastoma

2011 ◽  
Vol 2 (2) ◽  
pp. 125-127
Author(s):  
Vaidhehi N Nayak ◽  
Mandana Donoghue ◽  
M Selvamani

ABSTRACT Background Odontogenic keratocyst (OKC) is an aggressive cyst with neoplastic behavior and unicystic ameloblastoma (UA) is a neoplasm with cyst like behavior. Both odontogenic keratocyst and unicystic ameloblastoma show biologic behavior unlike other lesions in their respective groups. In the present study, the biological behavior of these lesions were assessed by studying the collagen fibers in their walls using picrosirius red (PSR) polarization method. Methods Collagen fibers in 20 cases of OKC and 20 cases of UA were studied histologically by staining sections with picrosirius red dye and examining them by polarizing microscopy. Polarization colors of the collagen fibers of the lesions were recorded according to their width. Results While no differences were seen between the polarization colors of thin fibers (< 0.8 μ) in both odontogenic keratocyst and unicystic ameloblastoma, the polarization colors of thick fibers of odontogenic keratocyst were significantly more greenish-yellow as compared to the unicystic ameloblastoma which were predominantly yellowish-red. Conclusion These findings suggest that odontogenic keratocyst is a more aggressive lesion than unicystic ameloblastoma by means of identifying abnormally packed collagen fibers in odontogenic keratocyst but not in unicystic ameloblastoma. Thus, the nature of collagen fibers as studied by the picrosirius red polarization method may be useful as a diagnostic tool to differentiate between the two lesions.

2017 ◽  
Vol 18 (2) ◽  
pp. 137-141 ◽  
Author(s):  
Pavan G Kulkarni ◽  
M Aruna Kumari ◽  
Abhishek Jahagirdar ◽  
SRK Nandan ◽  
Shyam Prasad Reddy D ◽  
...  

ABSTRACT Introduction Odontogenic cysts and tumors have variable recurrence rates. Recurrence rate is mainly due to the activity of the epithelium. The epithelium of these lesions has been investigated extensively in regard to their role in proliferative and aggressive behavior of the lesions. However, the role of the connective tissue wall in their behavior has not been studied as extensively. Collagen is an essential part of the connective tissue as a whole and fibrous wall of cystic lesions especially. It is demonstrated by picrosirius red dye staining combined with polarization microscopy. This method permits the evaluation of the nature of the collagen fibers in addition to their thickness. Materials and methods A total of 56 histopathologically diagnosed cases comprising odontogenic follicle, dentigerous cyst, unicystic ameloblastoma, keratocystic odontogenic tumor (KCOT), multicystic/solid ameloblastoma, and ameloblastic carcinoma were taken and stained using picrosirius red stain and evaluated using a polarizing microscope. Results Collagen fibers in odontogenic follicles and dentigerous cysts showed predominant orange-red birefringence; fibers in unicystic ameloblastoma and KCOT showed both orange red and greenish-yellow birefringence; and fibers of multicystic/ solid ameloblastoma showed predominant greenish-yellow birefringence and ameloblastic carcinoma that showed almost complete greenish birefringence. As the biological behavior of the lesions in the spectrum studied progress toward aggressive nature, increase in immature collagen fibers is noticed. Conclusion This study suggests that the nature of collagen fibers plays a pivotal role in predicting the biological behavior of odontogenic lesions. Clinical significance Aggressive nature of the odontogenic lesions is determined by both the epithelium and the connective tissue components (collagen). Studying the nature and type of collagen helps in predicting its biological behavior. How to cite this article Kulkarni PG, Kumari MA, Jahagirdar A, Nandan SRK, Reddy DSP, Keerthi M. Collagen and Its Role in predicting the Biological Behavior of Odontogenic Lesions. J Contemp Dent Pract 2017;18(2):137-141.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Antara Chatterjee ◽  
Rojan Saghian ◽  
Anna Dorogin ◽  
Lindsay S. Cahill ◽  
John G. Sled ◽  
...  

AbstractThe cervix is responsible for maintaining pregnancy, and its timely remodeling is essential for the proper delivery of a baby. Cervical insufficiency, or “weakness”, may lead to preterm birth, which causes infant morbidities and mortalities worldwide. We used a mouse model of pregnancy and term labor, to examine the cervical structure by histology (Masson Trichome and Picrosirius Red staining), immunohistochemistry (Hyaluronic Acid Binding Protein/HABP), and ex-vivo MRI (T2-weighted and diffusion tensor imaging), focusing on two regions of the cervix (i.e., endocervix and ectocervix). Our results show that mouse endocervix has a higher proportion of smooth muscle cells and collagen fibers per area, with more compact tissue structure, than the ectocervix. With advanced gestation, endocervical changes, indicative of impending delivery, are manifested in fewer smooth muscle cells, expansion of the extracellular space, and lower presence of collagen fibers. MRI detected three distinctive zones in pregnant mouse endocervix: (1) inner collagenous layer, (2) middle circular muscular layer, and (3) outer longitudinal muscular layer. Diffusion MRI images detected changes in tissue organization as gestation progressed suggesting the potential application of this technique to non-invasively monitor cervical changes that precede the onset of labor in women at risk for preterm delivery.


2017 ◽  
Vol 6 (2) ◽  
pp. 1518
Author(s):  
Parvez Ikram ◽  
Nadeem Jeddy

<p><strong>Background:</strong> Oral submucous fibrosis (OSMF), a potentially malignant oral disorder has the highest rate of malignant transformation of about 7-13%. The connective tissue changes that occur in this disease are characteristic and are stained with special stains.</p><p><strong>Objective:</strong> The study was done to compare common and special stains under light microscopy and polarizing microscopy to evaluate the levels of fibrosis in oral submucous fibrosis and assess the type of collagen present in the stromal area.</p><p><strong>Materials and Methods:</strong> Fifty tissue blocks were selected from the archives and were prepared and stained with H&amp;E, Masson's trichrome, Van Gieson and Picrosirius red and studied under light microscope and polarizing microscope respectively.</p><p><strong>Results:</strong> H and E stained slides were useful in diagnosing the lesion but was not able to highlight the level of fibrosis. Masson's trichrome and Van Gieson stained slides showed the depth of the lesion which extended even to the deeper muscle layer. The type of collagen present was definitively seen by the birefringence in polarizing microscopic study. Interobserver variation was less and all the values regarding the effectiveness of the special stains in detecting the level of fibrosis were statistically significant.</p><p><strong>Conclusion:</strong> Special stains can be used routinely in laboratories to demonstrate connective tissue lesions especially in cases of OSMF. Depth of the lesion and the area of involvement help in treatment planning to be delivered. Large scale studies with more categories and inclusion criteria are required along with the special stains to assess the other alterations in OSMF.</p>


2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Natália Galvão Garcia ◽  
Denise Tostes Oliveira ◽  
Moacyr Tadeu Vicente Rodrigues

Unicystic ameloblastoma is a distinguishable entity of ameloblastomas, characterized by slow growth and being relatively locally aggressive. Three histological types are recognized according to the degree of ameloblastomatous epithelial extension, namely, luminal, intraluminal, and mural types. This classification has a direct bearing on their biological behavior, treatment, and prognosis. However, there is difficulty in determining the most appropriate form of treatment for unicystic ameloblastoma. We present a case of unicystic ameloblastoma that occurred in the right posterior mandible of 19-year-old girl, which was enucleated and did not recur after 12-month follow-up.


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