Animals ; Cytoplasm ; ultrastructure ; Fibroblasts ; ultrastructure ; Fractures, Bone ; pathology ; Microscopy, Electron ; Osteoblasts ; ultrastructure ; Rabbits ; Wound Healing

Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors in the gastrointestinal tract (GIT). Although interstitial cells of Cajal has been suggested as origin of this tumor, the cytological and ultrastructural features of GISTs are heterogeneous and unclear. A total 10 cases of normal gastrointestinal tissue (control), 13 GISTs of the stomach (8), small intestine (3), mesocolon (1) and liver (1), and 2 gastrointestinal autonomic nervous tumor (GANT) of small intestine were ultrastructurally studied. Normal interstitial cells of Cajal (ICC) were abundantly present around the myenteric plexuses or individually scattered through the wall of GIT. ICC was characterized by slender cytoplasmic processes, well-developed endoplasmic reticulum (ER), mitochondria, Golgi apparatus, caveolae and intermediate filaments. The GISTs and GANTs had overlapping ultrastructures. The most common and important ultrastructural features of GISTs were rich villous cytoplasmic processes, dispersed intermediate filaments and abundant SER, and those of GANTs were neurosecretory granules and skenoid fibers. Compared with ICC, the GISTs and GANTs had remarkably reduced caveolae and gap junctions. Our study suggested that ultrastructural analysis gives much information to investigate lineage differentiation of neoplastic cells and make a differential diagnosis of these tumors from other mesenchymal tumors and between GISTs and GANTs.
Adult ; Aged ; Autonomic Nervous System/*pathology/ultrastructure ; Comparative Study ; Cytoplasm/pathology/ultrastructure ; Female ; Gastrointestinal Neoplasms/*pathology/ultrastructure ; Human ; Immunohistochemistry ; Male ; Microscopy, Electron ; Middle Aged ; Peripheral Nervous System Neoplasms/*pathology/ultrastructure ; Stromal Cells/*pathology/ultrastructure ; Support, Non-U.S. Gov't ; Tumor Markers, Biological ; Vacuoles/pathology/ultrastructure

Histochemical, immunohistochemical and ultrastructural studies were performed on cases of hepatocellular carcinoma (HCC) with pale bodies (PB). HCC containing PBs was observed in 3 (5.5%) of 55 consecutively resected HCC cases. Histologically, a large number of hepatocytes displayed pale or eosinophilic staining of the cytoplasm, resulting in ground-glass appearance. They were aggregated in nodular pattern, or diffusely intermixed with other malignant hepatocytes. PBs were negative for periodic-acid Schiff and Masson's trichrome staining. The inclusions showed a strong positive reaction for fibrinogen and some of them were weakly positive for albumin but negative for hepatitis B surface antigen, hepatitis B core antigen, alpha-fetoprotein and alpha-1-antitrypsin. Ultrastructurally, PBs were membrane-bound and contained granular materials of moderate electron density, and were closely related to dilated rough endoplasmic reticulum. These findings support that PBs are secretory fibrinogen accumulated in cystic ER and that such intracellular accumulation possibly reflects a defective transport of fibrinogen.
Albumins/analysis ; Carcinoma, Hepatocellular/pathology* ; Cytoplasm/ultrastructure ; Cytoplasm/pathology ; Cytoplasm/chemistry ; Endoplasmic Reticulum, Rough/ultrastructure ; Endoplasmic Reticulum, Rough/pathology ; Endoplasmic Reticulum, Rough/chemistry ; Fibrinogen/analysis ; Human ; Inclusion Bodies/ultrastructure ; Inclusion Bodies/pathology* ; Inclusion Bodies/chemistry ; Liver Neoplasms/pathology* ; Male ; Microscopy, Electron ; Middle Age ; Periodic Acid-Schiff Reaction

To identify the knowledge of rare lymphoproliferative disorder, the clinical and biological features of three kinds of lymphoproliferative disorders with cytoplasmic projections were compared. The clinical manifestations, ultrastructure and immunophenotype were analyzed. The results showed that hairy cell leukemia (HCL), splenic lymphoma with villous lymphocyte (SLVL) and hairy cell leukemia-variant (HCL-V) had some common characters including splenomegaly, peripheral blood and bone marrow infiltration by villous lymphocyte and B lymphocyte immunophenotype; but these three disorders had specific features respectively. It was concluded that overall analysis of clinical and laboratory features might be contributive to the differential diagnosis of these three disorders.
Adolescent ; Adult ; Aged ; Antibodies, Neoplasm ; blood ; Antigens, Differentiation, B-Lymphocyte ; blood ; Antigens, Neoplasm ; blood ; B-Lymphocytes ; immunology ; ultrastructure ; Bone Marrow Cells ; pathology ; Cytoplasm ; ultrastructure ; Female ; Humans ; Immunophenotyping ; Leukemia, Hairy Cell ; immunology ; pathology ; Lymphoma, B-Cell ; immunology ; ultrastructure ; Lymphoproliferative Disorders ; immunology ; pathology ; Male ; Middle Aged

AIMTo analyse the cytomorphological features of keratinocytes in smears obtained from the oral mucosa of tobacco users and from oral squamous cell carcinoma lesions.

METHODOLOGYOral smears were obtained from clinically, normal appearing mucosa of oral squamous cell carcinoma patients (n=20) and from the mucosa of smokers (n=20), and apparently healthy individuals (n=20) were used as controls. The smears were histochemically stained and cytomorphological assessment of the keratinocytes was carried out. One-way ANOVA (Analysis of Variance) was used for comparing the parameters among multiple groups and Tukey-HSD test was used to compare the mean values between groups.

RESULTSThe mean nuclear area of keratinocytes from the mucosa of tobacco users was 46 +/- 2.57 and that of the oral squamous cell carcinoma lesion was 81.54 +/- 4.31. While there was a significant (P = 0.001) reduction in the cellular area of keratinocytes from oral squamous cell carcinoma lesion when compared with those from oral smears of tobacco users.

CONCLUSIONCytomorphometric analysis of keratinocytes can serve as a useful adjunct in the early diagnosis of oral squamous cell carcinomas.

Azo Compounds ; Carcinoma, Squamous Cell ; pathology ; Cell Nucleus ; ultrastructure ; Cell Size ; Coloring Agents ; Cytodiagnosis ; instrumentation ; methods ; Cytoplasm ; ultrastructure ; Eosine Yellowish-(YS) ; Fluorescent Dyes ; Humans ; Image Processing, Computer-Assisted ; methods ; Keratinocytes ; pathology ; Mouth Mucosa ; pathology ; Mouth Neoplasms ; pathology ; Rosaniline Dyes ; Smoking ; pathology ; Software ; Tobacco, Smokeless