Colorectal Counterpart of Gastric Depressed Adenoma: A Comparison with Flat and Polypoid Adenomas with Special Reference to the Development of Pericryptal Fibroblasts

Colorectal Counterpart of Gastric Depressed Adenoma: A Comparison with Flat and Polypoid Adenomas with Special Reference to the Development of Pericryptal Fibroblasts
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胃凹陷性腺瘤的结直肠对应物:与扁平腺瘤和息肉状腺瘤的比较,特别参考隐窝周围成纤维细胞的发育

DOI:
10.1097/00000478-199406000-00002
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发表时间:
1994
期刊:
The American Journal of Surgical Pathology
影响因子:
--
通讯作者:
M. Tsuneyoshi
M. Tsuneyoshi
中科院分区:
--
文献类型:
--
作者:
T. Yao;S. Tada;M. Tsuneyoshi

文献摘要

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采用肌特异性肌动蛋白(HHF-35)免疫组化染色,对28例凹陷性腺瘤(DA)、40例无中央凹陷的扁平腺瘤(FA)和29例息肉样腺瘤(PA)的组织学特征进行了比较,特别是对隐窝周围成纤维细胞(PCF)的发育进行了研究。DA由直径小于PA的腺瘤性小管的拥挤集合组成。关于PCF的发育,DA的PCF发育不良; PCF(-)、(+)和(+ +)分别为12(43%)、16(57%)和0(0%)。另一方面,非凹陷性腺瘤(PA和FA)具有发育良好的PCF; PCF(-)、(+)和(++)分别为5(7%)、35(51%)和29(42%)。此外,PCF的数量似乎减少的顺序PA,其次是FA和DA。根据我们的研究结果,DA具有特征性的组织学结构以及发育不良的PCF特征,这将它们与PA区分开来。因此,凹陷型腺瘤被认为是扁平型腺瘤的一个亚型。PCFs的缺失似乎与腺瘤的生长抑制有关。
The histological features of 28 depressed adenomas (DAs) were compared with those of 40 flat adenomas (FAs) without a central depression and those of 29 polypoid adenomas (PAs), with special reference to the development of pericryptal fibroblasts (PCFs), using immunohistochemical staining for muscle-specific actin (HHF-35). The DAs were composed of a crowded collection of adenomatous tubules with smaller diameters than those of the PAs. With regard to PCF development, the DAs had poorly developed PCFs; PCF (-),(+), and (+ +) numbered 12 (43%), 16 (57%), and 0 (0%), respectively. On the other hand, the nondepressed adenomas (PAs and FAs) had well-developed PCF; PCF (-),(+), and (++) numbered 5 (7%), 35 (51%), and 29 (42%), respectively. In addition, the number of PCFs seemed to decrease in the sequence of PAs, followed by FAs and DAs. According to our results, the DAs had a characteristic histological architecture together with poorly developed PCFs features, which distinguished them from the PAs. In conclusion, the depressed adenomas were considered a subtype of the flat adenomas. The depletion of PCFs seems to correlate with the depressed growth of the adenoma.