Ultrastructural study of conventional chondrosarcomas and myxoid- and mesenchymal-chondrosarcomas.

F J Martinez-Tello, J J Navas-Palacios
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引用次数: 19

Abstract

Five cases of conventional chondrosarcomas (CS.) of graded malignancy, 3 cases of myxoid CS. and 2 cases of mesenchymal CS. were studied by electron-microscopy. The chondrocyte like tumor cells of conventional CS. were characterized by: an ovoid shape, eccentric nucleus, abundant endoplasmic reticulum with dilated cisternae of RER; cytoplasmic glycogen, lipid droplets, and filaments plus numerous thin cytoplasmic projections. The histologically high grade tumors showed fewer cytoplasmic organelles, bizarre nuclei and more prominent nucleoli than the better differentiated ones. The tumor cells of myxoid CS. were chiefly fusiform. The cells frequently presented a pattern of rows with good cellular cohesion, and scanty cytoplasmic projections. The most prominent cytoplasmic feature was a conspicuous RER. Abundant cytoplasmic filaments and cytoplasmic glycogen were also observed. The undifferentiated areas of the mesenchymal CS. showed primitive mesenchymal cells with rounded nuclei, and scanty cytoplasm which was poor in organelles and glycogen. The cytoplasmic membranes were very cohesive and cytoplasmic projections were not present. Scanty cytoplasmic filaments and conspicuous desmosome like junctions were observed. The intercellular matrix of conventional and myxoid CS. consisted of fibrils, glycosaminoglycan granules and collagen fibers. In the undifferentiated zones of the mesenchymal CS. the intercellular matrix was very scanty and did not contain collagen fibrils. The more immature cells correspond to the small undifferentiated cells of mesenchymal chondrosarcoma.

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常规软骨肉瘤、粘液样软骨肉瘤和间质软骨肉瘤的超微结构研究。
分级恶性的常规软骨肉瘤5例,黏液样软骨肉瘤3例。间质性CS 2例。电镜观察。常规CS的软骨细胞样肿瘤细胞。特征为:卵圆形,核偏心,内质网丰富,内质网扩张;胞质糖原、脂滴、细丝以及许多薄的胞质突起。组织学高度分化的肿瘤细胞器较少,细胞核奇异,核仁突出。粘液样CS的肿瘤细胞。主要是梭状。细胞常呈行状,细胞内聚性好,胞质突起少。最显著的细胞质特征是明显的RER。胞质纤维丰富,胞质糖原丰富。间充质CS未分化区。可见细胞核圆形的原始间充质细胞,胞质稀少,细胞器和糖原缺乏。胞质膜紧密结合,胞质无突起。胞质丝稀少,桥粒样连接明显。常规CS和黏液CS的细胞间基质。由原纤维、糖胺聚糖颗粒和胶原纤维组成。在间充质CS的未分化区。细胞间基质很少,不含胶原原纤维。更不成熟的细胞对应于间充质软骨肉瘤的小的未分化细胞。
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