1.Mucinous adenocarcinoma of salivary glands.
Yan GAO ; Ping DI ; Xin PENG ; Guangyan YU ; Kaihua SUN
Chinese Journal of Stomatology 2002;37(5):356-358
OBJECTIVETo investigate the clinicopathological features of mucinous adenocarcinoma of salivary glands.
METHODSThe clinical manifestations and histopathological characteristics of 6 cases of mucinous adenocarcinoma of salivary gland were studied by retrospective and routine histopathology and immunohistochemistry.
RESULTSFour mucinous adenocarcinoma occurred in palate and 2 in mouth floor. Average age of patients was 60 years (48 - 70) and males were affected more often than females (4:2). Pathologically, the tumor grew with infiltration of surrounding tissues. The tumor consisted of unitary mucinous cells and mucin pool was obvious. The cell pleomorphism and nuclear mitosis were often seen. Some tumors showed acinus-like structure. Tumor cells often formed incomplete duct-like structure and small clusters floating in mucinous pool. There were intracellular mucin and signet ring cells in the tumor. Tumor cells showed positive reaction to PAS, Alcin blue, and some cytokeratin staining.
CONCLUSIONSMucinous adenocarcinoma of salivary gland is a rare malignant tumor which mainly affects palate and mouth floor of older patients. The tumor may originate from acinic cell of mucous acinus or multi-potential cell of salivary gland.
Adenocarcinoma, Mucinous ; metabolism ; pathology ; Aged ; Female ; Humans ; Immunohistochemistry ; Keratins ; analysis ; Male ; Middle Aged ; Salivary Gland Neoplasms ; metabolism ; pathology
2.Clinical and pathologic features of malignant myoepithelioma of salivary glands.
Qiu-lin LIAO ; Lian-hua LI ; Ri-quan LAI ; Xiao-dong CHEN ; Jing-wen CHEN ; Yong-mei ZHOU
Chinese Journal of Pathology 2005;34(4):211-214
OBJECTIVETo analyze the clinical features, morphology and biologic behavior of primary malignant myoepithelioma (MME) of salivary glands.
METHODSThe H&E sections of 16 MME cases were reviewed. Immunohistochemical study using EnVision method for cytokeratin (CK), epithelial membrane antigen (EMA), vimentin, S-100 protein, desmin, muscle-specific actin (MSA), smooth muscle actin (SMA), Myo, proliferation cell nuclear antigen (PCNA), leukocyte common antigen (LCA) and glial fibrillary acidic protein (GFAP) was carried out.
RESULTSOf the 16 patients studied, 6 were males and 10 were females. Their ages ranged from 12 to 65 years (with an average age of 44 years). The tumor occurred predominantly in the parotid gland and minor salivary gland of the palate. Common clinical features included sudden and rapid tumor growth, superficial ulceration, bony destruction and nerve infiltration. Seven of the 16 patients developed local recurrences, while 2 patients had metastasis in the lymph nodes of submandibular or other cervical regions. Most tumors infiltrated adjacent normal salivary gland, adipose, muscular and bony tissues. The extent of local invasion however varied. Histologically, MME showed a wide range of morphologic appearance, with various combinations of clear, spindle, epithelioid or plasmacytoid cells. The tumor cells were atypical and demonstrated high mitotic activity. In this study, 9 cases were composed predominantly of clear tumor cells. Immunohistochemically the tumor cells were positive for CK, EMA, MSA, desmin and S-100 protein.
CONCLUSIONSIn general, MME is a rare and low-grade malignant salivary gland tumor. It carries a low potential for lymph node or distant metastasis but relatively high tendency for local recurrences, resulting in destruction of adjacent soft and bony tissues. The biologic behavior also varies, depending on the site of involvement. Morphologic diagnosis of MME can be difficult in view of the wide spectrum of histologic changes. A definitive diagnosis however is possible with the application of immunohistochemistry.
Adolescent ; Adult ; Aged ; Cytokines ; metabolism ; Desmin ; metabolism ; Diagnosis, Differential ; Female ; Humans ; Lymphatic Metastasis ; Male ; Middle Aged ; Myoepithelioma ; metabolism ; pathology ; Neoplasm Recurrence, Local ; Parotid Neoplasms ; metabolism ; pathology ; Retrospective Studies ; Salivary Gland Neoplasms ; metabolism ; pathology ; Salivary Glands, Minor ; pathology
3.Expression of midkine and microvessel density in salivary adenoid cystic carcinoma.
Jun CHEN ; Jimei LI ; Weil LI ; Hongmei HU
West China Journal of Stomatology 2016;34(2):189-193
OBJECTIVEThis study aimed to investigate the expression of midkine (MK) and microvessel density (MVD) in patients with salivary adenoid cystic carcinoma (SACC) and its clinical significance, as well as detect the correlation between the expression of MK and MVD in SACC.
METHODSImmunohistochemistry analysis (SP method) for MK and MVD were performed on 60 cases of SACC and 26 cases of normal salivary gland tissue. The expression of MK and MVD, as well as the correlation between the expression of MK and MVD in SACC were detected.
RESULTSIn SACC, the MK expression rate was 70.0% (42/60), and MK was not expressed in normal tissue. Statistical significance was found between SACC and normal tissue (P<0.05). The MVD values in SACC and normal salivary gland tissues were 38.73 +/- 8.96 and 11.15 +/- 3.33, respectively. These values were statistically significant (P<0.05). The expression levels of MK and MVD were unrelated to age, gender, and type in SACC (P>0.05), but correlated with tumor size, lymph node metastasis, and tumor-node-metastasis in SACC (P<0.05). The expression of MK and MVD was positively correlated with SACC (r=0.560, P<0.05).
CONCLUSIONSACC is correlated with the expression of MK protein and the increase in MVD, which may be some of the early diagnostic markers in SACC.
Carcinoma, Adenoid Cystic ; enzymology ; pathology ; Cytokines ; genetics ; metabolism ; Humans ; Immunohistochemistry ; Lymphatic Metastasis ; Microvessels ; Nerve Growth Factors ; Salivary Gland Neoplasms ; enzymology ; pathology ; Salivary Glands ; enzymology
4.The relation of nuclear factor kappa B to angiogenesis and clinical outcomes in adenoid cystic carcinoma of salivary glands.
Jia-li ZHANG ; Bin PENG ; Xin-ming CHEN
Chinese Journal of Stomatology 2005;40(6):495-499
OBJECTIVETo evaluate the expression of nuclear factor kappa B (NF-kappaB) p65 in relation to angiogenesis microvessel density (MVD) and clinical outcomes in adenoid cystic carcinoma of salivary glands (ACCs).
METHODSImmunohistochemical staining method was used to quantify the protein expression levels of NF-kappaB p65 in 80 surgically resected salivary gland ACC and normal salivary tissues. In all cases of ACCs, microvessel density was evaluated by counting any CD(34)-reactive endothelial cell or endothelial-cell cluster. The patients with ACCs were followed up from 1992 to 2002.
RESULTSNF-kappaB p65 was detected in the cytoplasm of normal and ACC cells, but was only in the nucleus of tumor cells; while there was no NF-kappaB p65 nuclear staining in all the controls. The mean value of MVD was (47.07 +/- 13.44), which had significant correlations with NF-kappaB p65 expression (P < 0.01). In three histological types of salivary gland ACC, the expressions of NF-kappaB and MVD were significantly higher in solid type than in cribriform type and tubular type (P < 0.01). NF-kappaB p65 expression and MVD were significantly correlated to clinical stage, tumor size, perineural and vascular invasion, recurrence and metastasis (P < 0.05), but there were no correlations between those three factors and patient age, gender and tumor site (P > 0.05). Multivariate analysis showed NF-kappaB (P < 0.05) expression, MVD (P < 0.01), histotypes (P < 0.01), and perineural invasion (P < 0.05) had an independent prognostic impact on overall survival.
CONCLUSIONSThe expression of NF-kappaB p65 was related to MVD, and the correlation between those two factors and clinico-pathological factors and prognosis of ACCs are significant.
Carcinoma, Adenoid Cystic ; metabolism ; pathology ; Female ; Humans ; Male ; Middle Aged ; Neovascularization, Pathologic ; pathology ; Prognosis ; Salivary Gland Neoplasms ; metabolism ; pathology ; Transcription Factor RelA ; metabolism
5.Congenital salivary gland anlage tumor: report of a case.
Long LIN ; Hong-Feng TANG ; Yue-Feng SUN ; Wei-Zhong GU ; Hua-Ying YE
Chinese Journal of Pathology 2009;38(10):711-712
Actins
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metabolism
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Adenoma, Pleomorphic
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congenital
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metabolism
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pathology
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surgery
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Diagnosis, Differential
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Fibrosarcoma
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metabolism
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pathology
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Humans
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Infant
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Male
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Nasopharyngeal Neoplasms
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congenital
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metabolism
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pathology
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surgery
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Rhabdomyosarcoma
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metabolism
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pathology
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Salivary Gland Neoplasms
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congenital
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metabolism
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pathology
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surgery
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Vimentin
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metabolism
6.Tyrosine kinase A and vascular endothelial growth factor receptor 2 in the invasion and metastasis of salivary adenoid cystic carcinoma.
Xiao-lin NONG ; Yong XIA ; Yi-ping YANG ; Hai-yun QING ; Jia-quan LI ; Yan-ning LI ; Yang CAO ; Hao LI ; Qi CHEN
West China Journal of Stomatology 2010;28(4):420-429
OBJECTIVETo determine the effect of tyrosine kinase A (TrkA) and vascular endothelial growth factor receptor 2 (VEGFR2) in the invasion and metastasis of salivary adenoid cystic carcinoma (SACC).
METHODSThe expression of TrkA and VEGFR2 were detected by immunohistochemical staining in 47 cases of SACC of salivary glands. Clinical data were reviewed by multivariate prognostic analysis.
RESULTSThe positive rate of TrkA and VEGFR2 in SACC was 87.23% (41/47) and 85.11% (40/47) respectively. Express of TrkA and VEGFR2 in perineural invasion and recurrence group were higher than non-perineural invasion and non-recurrence group. Significant difference was found in microvessel density (MVD) and VEGFR2 expression within different groups (P < 0.05). MVD in perineural invasion group (25.14 +/- 2.83) was significantly higher than that in none perineural invasion group (18.81 +/- 1.33) (P < 0.05). MVD in recurrence or metastasis group (26.58 +/- 2.38) was significantly higher than that (19.06 +/- 1.39) in none recurrence nor metastasis group (P < 0.05).
CONCLUSIONPositive correlation between expression of TrkA, VEGFR2 and nerve invasion and vessel metastasis of SACC indicate that TrkA and VEGFR2 play important roles in the invasion and metastasis of SACC. It is possible that TrkA and VEGFR2 could be an aid for evaluating the prognosis of SACC patients.
Carcinoma, Adenoid Cystic ; metabolism ; pathology ; Humans ; Neoplasm Metastasis ; Neoplasm Recurrence, Local ; Receptor, trkA ; metabolism ; Salivary Gland Neoplasms ; metabolism ; pathology ; Vascular Endothelial Growth Factor Receptor-2
7.Coexpression of Schwann cell marker GFAP and myoepithelial cell marker alpha-SMA in salivary adenoid cystic carcinoma.
Mo-yi SUN ; Wei CHEN ; Lian-jia YANG ; Shao-zhong DONG
Chinese Journal of Stomatology 2006;41(8):461-463
OBJECTIVETo observe the expression of Schwann cell marker GFAP and myoepithelial cell marker alpha-SMA in salivary adenoid cystic carcinoma (ACC), and to evaluate the relationship of GFAP, alpha-SMA and perineural invasion in ACC.
METHODSImmunohistochemical SABC method, double-label immunofluorescence and CLSM were used to detect the expression of GFAP and alpha-SMA proteins in salivary ACC tissue samples.
RESULTSIn salivary ACC tissue samples, both GFAP and alpha-SMA proteins were positive, which were coexpressed in cytoplasm of the same onco-myoepithelial cells.
CONCLUSIONSThere may be Schwann cell differentiation in onco-myoepithelial cell of salivary ACC, and it may be the pathological base of perineural invasion in salivary ACC.
Actins ; metabolism ; Carcinoma, Adenoid Cystic ; metabolism ; pathology ; Epithelial Cells ; metabolism ; pathology ; Glial Fibrillary Acidic Protein ; metabolism ; Humans ; Muscle Cells ; metabolism ; pathology ; Salivary Gland Neoplasms ; metabolism ; pathology ; Schwann Cells ; metabolism ; pathology
8.Evolution pattern of the Runx3 gene 5'-CpG island methylation in human salivary gland adenoid cystic carcinoma.
Zhuo TAN ; Zhi-Qiang LING ; Chao CHEN ; Jia-Jie XU ; Ming-Hua GE
Chinese Journal of Oncology 2010;32(12):907-912
OBJECTIVETo investigate the evolution pattern of the Runx3 gene 5'-CpG island ~3478 bp region methylation in human salivary gland adenoid cystic carcinoma (SGACC).
METHODSQuantitative MSP method was used to detect the methylation status of CpG island in various regions (No.1-10) of Runx3 promoter region, and Western blot was used for detection of the expression of Runx3 protein in 41 salivary gland SGACC samples and corresponding non-neoplastic salivary gland tissues. A Logistic model was used to analyze the risk ratio between the methylation status of CpG island in Runx3 gene and development of salivary SGACC, meanwhile, the possible association among the methylation of Runx3 gene, the clinicopathological parameters of SGACCs, and Runx3 protein expression was compared.
RESULTSThe results of qMSP showed that the hypermethylation initially occurred at the most 5' region of the Runx3 CpG island and spread to the transcription start site. The methylation rate was highest in region No. 1 and No. 2 among the successive ten regions ranging from the 5' region to the transcription start site within the Runx3 CpG island, and lowest in the transcription start site both in SGACCs and normal salivary glands. Furthermore, there was no methylation in the transcription start site in nomal salivary glands tissues. Together with the results of Logistic model analysis, those results indicate that the transcription start site within the Runx3 promoter CpG island is critical for gene silencing. Western blot results revealed that the Runx3 protein level in SGACC was significantly lower than that in normal salivary glands (P < 0.01). In combination of the results of qMSP, it is presumed that the Runx3 gene methylation is one of the reason inducing the down-regulation of Runx3 in SGACCs.
CONCLUSIONSMethylation of the Runx3 CpG island spreads from the most 5'-region to the transcription start site in human salivary gland adenoid cystic carcinoma, and the transcription start site may be a critical region for the methylation of Runx3. The evolution pattern of Runx3 gene methylation is related to the tumorigenesis of SGACCs.
Adult ; Aged ; Aged, 80 and over ; Carcinoma, Adenoid Cystic ; genetics ; metabolism ; pathology ; Core Binding Factor Alpha 3 Subunit ; genetics ; metabolism ; CpG Islands ; genetics ; DNA Methylation ; Female ; Humans ; Logistic Models ; Male ; Middle Aged ; Salivary Gland Neoplasms ; genetics ; metabolism ; pathology ; Salivary Glands ; metabolism
9.Expression of MMP-2 and E-CD in salivary mucoepidermoid carcinoma and its correlation with infiltration, metastasis and prognosis.
Ji-an HU ; Jing-yao XU ; Yi-ning LI ; Song-ying LI ; Hong YING
Journal of Zhejiang University. Medical sciences 2005;34(5):421-426
OBJECTIVETo study the expressions of matrix metalloproteinase 2 (MMP2) and E-cadherin (E-CD) in salivary mucoepidermoid carcinoma, and their relationship with clinical stages, pathological grading, lymph node metastasis and prognosis.
METHODSSurgical specimens of salivary mucoepidermiod carcinoma and normal salivary gland tissue were collected. MMP-2 and E-CD were stained immunohistochemically with streptavidin peroxidase method.
RESULTSThe expression of MMP-2 was increased and the expression of E-CD was reduced or negative in salivary mucoepidemoid carcinoma compared with those of the normal salivary gland. Expression of MMP-2 and E-CD was closely correlated with lymph node metastasis of the mucoepidermoid carcinoma. MMP-2 was positively correlated with the prognosis of mucoepidermoid carcinoma, and E-CD was negatively correlated to the prognosis of mucoepidermoid carcinoma.
CONCLUSIONThe expression of MMP-2 and E-CD is closely correlated with the metastasis and prognosis of salivary mucoepidermoid carcinoma.
Cadherins ; biosynthesis ; genetics ; Carcinoma, Mucoepidermoid ; metabolism ; pathology ; Humans ; Matrix Metalloproteinase 2 ; biosynthesis ; genetics ; Neoplasm Invasiveness ; Neoplasm Metastasis ; Prognosis ; Salivary Gland Neoplasms ; metabolism ; pathology
10.Effects of 17 beta-estradiol on the adhesion, invasion and motility potential of salivary mucoepidermoid carcinoma Mc3 cells.
De-sheng WEN ; Jun-zheng WU ; Shan-min FU ; Bin LIU ; Xiao-xia LI ; Ji-jun DONG
Chinese Journal of Stomatology 2005;40(5):390-393
OBJECTIVETo study the effects of 17 beta-estradiol on the adhesion, invasion and motility potential of salivary mucoepidermoid carcinoma Mc3 cells.
METHODSThe effects of 17 beta-estradiol on adhesion, invasion and motility potential of salivary mucoepidermoid carcinoma Mc3 cells were investigated with cell attachment assay on fibronectin (FN), wound assay, chemotaxis assay, and gelatin-incorporated SDS-PAGE electrophoresis. The expression of estrogen receptor in Mc3 cells was determined by immunohistochemistry assay.
RESULTSAttachment rates of Mc3 cells treated with E2 at 10(-9), 10(-8), 10(-7), 10(-6) mol/L were 38.3%, 50.4%, 69.2% and 91.1% respectively, and the rate in control was 25.0%. When exposed to 17 beta-estradiol at 10(-9), 10(-8), 10(-7) and 10(-6) mol/L for 48 h, motility of Mc3 cells on FN increased by 16.9%, 40.9%, 36.4% and 38.8% respectively. When at 10(-6) mol/l, 17 beta-estradiol increased chemotaxis potential of Mc3 cells to FN by 60.3%. The activity of 68 000 matrix metalloproteinase (MMP-2) of Mc3 cells was enhanced at different levels by 10(-9), 10(-8), 10(-7), 10(-6) mol/L of 17 beta-estradiol, and estrogen receptor was also detected in nucleus of Mc3 cells by immunohistochemistry assay.
CONCLUSIONS17 beta-estradiol at physiological concentration may enhance the adhesion, invasion and motility potential of salivary mucoepidermoid carcinoma Mc3 cells.
Carcinoma, Mucoepidermoid ; metabolism ; pathology ; Cell Adhesion ; drug effects ; Cell Line, Tumor ; Estradiol ; pharmacology ; Humans ; Neoplasm Invasiveness ; Neoplasm Metastasis ; Salivary Gland Neoplasms ; metabolism ; pathology