[Immunohistochemical alterations in basement membrane components in skin cancer].

K Oguro
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Abstract

To investigate alterations in the basement membrane (BM) components around tumor nests, Bowen's disease (BD), actinic keratosis (AK), basal cell epithelioma (BCE), squamous cell carcinoma (SCC) were studied by double immunofluorescent staining with antibodies to laminin (LN), type IV collagen (CIV), heparan sulfate proteoglycan (HSPG), and chondroitin 6-sulfate glycosaminoglycan (C6S). In BD, all BM components were continuous on the dermo-epidermal junction. In AK, C6S was partially disrupted, but the other components were continuous. In BCE, LN and CIV were continuous around the tumor nests, but HSPG and C6S were varied. SCCs were divided into two groups by the patterns of LN, CIV, and HSPG; SCC with continuous BM components or disrupted ones. The former SCC had a tendency to show the more infiltrative growth. C6S was detected partially on the BMs of SCCs which have cytological characteristics of BD, while it was absent on those of other SCCs. The difference in the patterns of the BM components suggests variation of tumor invasion.

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[皮肤癌基底膜成分的免疫组化改变]。
为了研究肿瘤巢周围基底膜(BM)成分的改变,采用层粘连蛋白(LN)、IV型胶原(CIV)、硫酸肝素蛋白聚糖(HSPG)和硫酸软骨素糖胺聚糖(C6S)抗体双免疫荧光染色法研究Bowen病(BD)、光化性角化病(AK)、基底细胞上皮瘤(BCE)、鳞状细胞癌(SCC)。在BD中,所有BM成分在真皮-表皮交界处是连续的。在AK中,C6S部分中断,但其他组分连续。BCE肿瘤巢周围LN和CIV呈连续分布,HSPG和C6S呈变化。SCCs按LN、CIV、HSPG模式分为两组;具有连续BM组分或中断BM组分的SCC。前者鳞状细胞癌倾向于浸润性生长。C6S在具有BD细胞学特征的SCCs的脑转移灶上部分检测到,而在其他SCCs的脑转移灶上未检测到。基底膜组分模式的差异提示肿瘤侵袭的不同。
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