Intranodal Palisaded Myofibroblastoma

2007 ◽  
Vol 131 (2) ◽  
pp. 306-310 ◽  
Author(s):  
Thong Nguyen ◽  
Mahmoud A. Eltorky
Keyword(s):  
Smooth Muscle ◽  
Smooth Muscle Actin ◽  
Muscle Actin ◽  
Ki 67 ◽  
Female Ratio ◽  
Male Female Ratio ◽  
Microscopic Features ◽  
Intranodal Palisaded Myofibroblastoma ◽  
Slow Growing ◽  
Cut Surface

Abstract Intranodal palisaded myofibroblastoma (IPM) usually presents as a painless, slow-growing inguinal mass. Our review of 42 cases from 13 publications indicates that two thirds of IPMs occur between the ages of 45 and 55 years, the male-female ratio is 2:1, and there is a lack of ethnic predilection. Grossly, the IPM cut surface shows areas of hemorrhage. Five microscopic features are seen: (a) compressed remnants of lymphoid tissue at the periphery; (b) spindle cells with nuclear palisading; (c) intraparenchymal hemorrhage and erythrocyte extravasation; (d) so-called amianthoid fibers; and (e) intracellular and extracellular fuchsinophilic bodies that stain positive for smooth muscle actin. Immunohistochemically, IPM is positive for smooth muscle actin and cyclin D1 and negative for S100, glial fibrillary acidic protein, CD34, and desmin, and it shows a low proliferative index of Ki-67. Electron microscopy demonstrates features of myofibroblasts and smooth muscle cells. Excellent prognosis is seen after surgical treatment, with an approximately 6% recurrence rate and no malignant transformation.

Immunohistochemical Staining Characteristics of Canine Gastrointestinal Stromal Tumors

1997 ◽  
Vol 34 (4) ◽  
pp. 303-311 ◽  
Author(s):  
R. G. LaRock ◽  
P. E. Ginn
Keyword(s):  
Smooth Muscle ◽  
Small Intestine ◽  
Immunohistochemical Staining ◽  
Gastrointestinal Stromal Tumors ◽  
Smooth Muscle Actin ◽  
Muscle Actin ◽  
Stromal Tumors ◽  
S 100 ◽  
Microscopic Features ◽  
Microscopic Diagnosis

Sections from 35 formalin-fixed, paraffin-embedded, canine gastrointestinal stromal tumors consisting of 14 leiomyomas (five stomach, three small intestine, two colon, four rectum), 18 leiomyosarcomas (one stomach, five small intestine, nine cecum, three rectum), two undifferentiated sarcomas (two stomach), and one neurofibrosarcoma (small intestine) were examined for the expression of vimentin, S-100 protein, α-smooth muscle actin, and desmin via immunoperoxidase methodology using an avidin-biotin complex technique. The leiomyomas were 4/14 (29%) vimentin-positive, 3/14 (21%) S-100 protein-positive, 10/14 (71%) α-smooth muscle actin-positive and 13/14 (93%) desmin-positive. Leiomyosarcomas were 18/18 (100%) vimentin-positive, 11/18 (61%) S-100 protein-positive, 9/18 (50%) α-smooth muscle actin-positive, and 15/18 (83%) desmin-positive. The undifferentiated sarcomas were 2/2 (100%) vimentin-positive, 2/2 (100%) S-100 protein-positive, 1/2 (50%) α-smooth muscle actin-positive, and 0/2 (0%) desmin-positive. The neurofibrosarcoma was vimentin and S-100 protein-positive and α-smooth muscle actin- and desmin-negative. Thirty-one of thirty-five (89%) of all neoplasms demonstrated reactivity for either desmin and/or α-smooth muscle actin. S-100 protein reactivity occurred in 17/35 (49%) of all specimens. Lack of desmin and α-smooth muscle actin reactivity occurred in 4/35 (11%) of all specimens, all of which were vimentin-positive. The immunohistochemical results indicate that the majority of canine gastrointestinal stromal tumors (GIST) with light microscopic features of smooth muscle cells have immunohistochemical staining patterns supporting smooth muscle differentiation. Vimentin reactivity correlated with a light microscopic diagnosis of malignancy. The lack of smooth muscle cell markers in some tumors and the high percentage of cases positive for S-100 protein may suggest a more complex histogenesis or differentiation for subgroups of these tumors.

Feline Cystic Thymoma: A Clinicopathologic, Immunohistologic, and Electron Microscopic Study of 14 Cases

2003 ◽  
Vol 5 (1) ◽  
pp. 27-35 ◽  
Author(s):  
AK Patnaik ◽  
PH Lieberman ◽  
RA Erlandson ◽  
C Antonescu
Keyword(s):  
Electron Microscopy ◽  
Smooth Muscle ◽  
Epithelial Cells ◽  
Smooth Muscle Actin ◽  
Muscle Actin ◽  
Electron Microscopic ◽  
Germinal Centres ◽  
Factor Viii Antigen ◽  
Cell Components ◽  
Microscopic Features

Cystic thymoma was diagnosed in 14 cats in a period of 6 years. The most common clinical sign was laboured breathing. The tumours were characterized by various-sized cystic spaces with central vessels. The epithelial cells varied from oval to spindle to polygonal cells enclosing cystic spaces or in pure epithelial cell components. The nuclei of the neoplastic cells had scattered chromatin and small nucleoli. The cytoplasm was pale eosinophilic. The concentration of mature lymphocytes varied from area to area with rare germinal centres. Immunohistochemically, the epithelial cells stained only with AE1/AE3. The central vessels were positive for vimentin, smooth muscle actin, and factor VIII antigen. Electron microscopy revealed that the cyst walls were lined by epithelial cells that were joined by desmosomes, and the walls were well separated from the cystic spaces by a well-defined basement membrane. The neoplastic epithelial cells contained scattered tonofilaments. Three of the cats had metastasis to the lymph nodes and lungs. Two novel cases of ectopic cystic thymoma have also been described. Results of this study reveal that cystic thymoma is uncommon in cats, and that the histomorphologic, immunohistochemical, and electron microscopic features are similar to those of cystic thymoma in humans.

scholarly journals Clinical and morphological characteristics with markers of reparation in neuropathic diabetic foot ulcers.

2015 ◽  
Vol 18 (3) ◽  
pp. 70-76 ◽  
Author(s):  
Elena Yurievna Komelyagina ◽  
Evgenia Aleksandrovna Kogan ◽  
Mikhail Borisovich Antsiferov
Keyword(s):  
Smooth Muscle ◽  
Diabetic Foot ◽  
Smooth Muscle Actin ◽  
Morphological Characteristics ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Muscle Actin ◽  
Ki 67 ◽  
Group 3 ◽  
Group 1

Aim. To compare the clinical and morphological characteristics of chronic diabetic foot ulcers and the markers of repair.Materials and Methods.We included 26 patients with neuropathic diabetic foot syndrome who had signs of severe peripheral neuropathy. Biopsies were performed from the margin and central part of the lesion and were fixed in a 10% formalin solution before being placed on paraffin slides and stained with hematoxylin and eosin. We assessed the percentages of necrotic, granulation and fibrotic tissues and the severity of vascular hyalinosis. Immunohistochemistry was performed with initial antibodies to Ki-67 (a marker of proliferation), smooth muscle actin (a marker of myofibroblast synthesis) and cytokeratin (a marker of epithelisation). For analysis, the samples were divided into three groups by the length of time the ulcer had been present: group 1 (≤90 days; 9 samples), group 2 (91–365 days; 10 samples) and group 3 (365 days; 9 samples).Results. The patients of group 3 were older than those of groups 1 and 2 (53.7±2.7 vs 51.7±5.9 vs 59.9±5.6 years; p=0.04). There were no differences in the duration of diabetes, glycated haemoglobin or severity of neuropathy. The percentage of necrotic tissue was higher in group 1 (33.7%±21.7% vs 11.0%±3.9% vs 12.8%±6.1%; p=0.02) and the percentage of fibrotic tissue was highest in group 3 (21.1%±21.0% vs 35.5%±19.8% vs 54.4%±23.9%; p=0.001). However, the amount of granulation tissue was not different between the groups (45.2%±21.1% vs 53.5%±21.1% vs 32.8%±26.3%; p=0.4). There was also no difference in the severity of vascular hyalinosis between the groups (p=0.9). Expression of Ki-67 was higher in groups 1 and 2, implying a greater capacity to regenerate. The expression of smooth muscle actin and cytokeratin was higher in groups 1 and 2 but without statistical significance.Conclusion. The morphological characteristics and regenerative capacities of neuropathic diabetic foot ulcers differ with the duration the ulcer has been present. Patients with ulcers for less than 1 year were characterised by higher cell proliferation but lower fibrosis. Neuropathic diabetic foot ulcers that are unable to heal over a year are characterised by incomplete regeneration and higher levels of fibrosis. Thus, different treatment approaches are needed depending on how long an ulcer has been present.

scholarly journals A Rare Ovarian Tumor: Primitive Leiomyosarcoma of the Ovary

2017 ◽  
Vol 1 (2) ◽  
Keyword(s):  
Smooth Muscle ◽  
Ovarian Tumor ◽  
Poor Prognosis ◽  
Malignant Tumors ◽  
Smooth Muscle Actin ◽  
Proliferation Index ◽  
Muscle Actin ◽  
Ki 67 ◽  
Eosinophilic Cytoplasm ◽  
Mitotic Proliferation

The primitive leiomyosarcoma of the ovary is rare and represents less than 1% of malignant tumors. It has a poor prognosis and frequently occurs during the postmenopausal period. We report two cases of this tumor in order to determine their epidemiological, histopathological, and evolutive aspects. Material and methods: The study material was consisted of ovariectomies fixed in 10% formalin. The sampled ovaries were subjected to usual techniques of inclusion in paraffin wax. These routine techniques were completed by immunohistochemistry assay using smooth muscle anti-actin, anti-desmin, anti-vimentin, and mitotic proliferation index (Ki-67). Results: Histological examination has shown a proliferation of fusiform cells, which were more or less fascicled in both cases. Tumor cells had a poorly-limited eosinophilic cytoplasm containing an elongated or an oval nucleus presenting an hyperchromatic or a vesicular feature. The nuclei were nucleolated. The anisocaryose was intense with more than 20 mitoses for 10 HPF. The positivity of anti-smooth muscle actin, anti-desmin, and anti-vimentin confirmed the diagnostic of leiomyosarcoma. Conclusion: The ovarian leiomyosarcoma is a rare with a poor prognosis.

scholarly journals Immunohistochemical Comparison of p53, Ki-67, CD68, Vimentin, α-smooth Muscle Actin and Alpha-1-Antichymotrypsin in Oral Peripheral and Central Giant Cell Granuloma

2015 ◽  
Vol 16 (1) ◽  
pp. 20-24 ◽  
Author(s):  
Omar Kujan ◽  
Ahmad Zahi Al-Shawaf ◽  
Saleh Azzeghaiby ◽  
Ahmad AlManadille ◽  
Kusay Aziz ◽  
...  
Keyword(s):  
Smooth Muscle ◽  
Giant Cell ◽  
Mononuclear Cells ◽  
Smooth Muscle Actin ◽  
Giant Cells ◽  
Molecular Techniques ◽  
Muscle Actin ◽  
Giant Cell Granuloma ◽  
Ki 67 ◽  
Central Giant Cell Granuloma

ABSTRACT Introduction Giant cell lesions are characterised histologically by multinucleated giant cells in a background of ovoid to spindleshaped mesenchymal cells. There is a major debate whether these lesions are separate entities or variants of the same disease. Our aim was to study the nature of multinucleated and mononuclear cells from peripheral giant cell granuloma (PGCG), and central giant cell granuloma (CGCG) and giant cell tumor (GCT) of long bones using immunohistochemistry evaluation and to determine whether there is a correlation between recurrence and the markers used. Materials and methods Ki-67, p53, Vimentin, smooth muscle specific actin, CD68 and alpha-1-antichymotrypsin were used to study 60 giant cell lesions. These included 26 CGCG, 28 PGCG, and 6 GCT cases using an avidin-biotin-complex immunohistochemistry standard method. Results All studied cases showed the same results except the percentage of Ki-67 positive mononuclear cells in PGCG was significantly higher than that of both CGCG and GCT (p < 0.05). Interestingly, no statistical correlation between recurrence and the markers used was found. Conclusion Our results may suggest that these lesions have the same histogenesis. The mononuclear stromal cells, both histiocytic and myofibroblastic, are thought to be responsible for the behavior of these lesions whereas the multinucleated cells are considered as reactive. This might support the argument that PGCG, CGCG and GCT are different variants for the same disease. Further studies using molecular techniques are required to elucidate why some of these lesions behave aggressively than others. How to cite this article Kujan O, Al-Shawaf AZ, Azzeghaiby S, AlManadille A, Aziz K, Raheel SA. Immunohistochemical Comparison of p53, Ki-67, CD68, Vimentin, α-smooth Muscle Actin and Alpha-1-Antichymotrypsin in Oral Peripheral and Central Giant Cell Granuloma. J Contemp Dent Pract 2015;16(1):20-24.

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