马成纤维细胞肉瘤的病理组织学特征

IF 0.5 Q4 BIOLOGY Regulatory Mechanisms in Biosystems Pub Date : 2022-11-19 DOI:10.15421/022252
M. Portenko, O. Shchebentovska
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引用次数: 2

摘要

肉瘤是一种最常见的皮肤肿瘤,在各种马的任何年龄,无论动物的性别,都可以诊断出来。这种纤维母细胞肿瘤具有多种临床表现,具有特定的形态特征。通常,它很少转移,但可以局部侵入。该病的病因是多因素的,包括牛乳头瘤病毒、遗传和环境因素的确定作用。本文介绍了一项回顾性研究的结果,乌克兰骑马品种的马与纤维母细胞肉瘤型,主要定位于胸外静脉的区域。肿瘤分为两种类型。第一种包括无明显蒂的宽基底肿瘤,但有角化过度的迹象。具有溃烂表面的大量圆形致密地层属于第二种类型。为了验证所研究的肉瘤类型,对病变可见部分进行广泛的手术切除,然后选择碎片进行病理组织学诊断。此外,采用附加染色方法检测结缔组织和肌肉组织(Van Gieson染色)和弹性纤维(Weigert的间瘤素-品红染色)。显微镜下,没有可见蒂的肿瘤显示角化过度和瘤周表皮层棘层。表皮脱屑伴大量亲氧碎屑、渗血出血及部分部位血管扩张。成纤维细胞和纤维细胞的混乱分布在很大程度上是在真皮下。细胞增多症和异核症表现中等。肉瘤,宏观上表现为块状致密结构,表面溃烂,组织学特征为表皮被细胞成分取代,真皮下出血,粗胶原纤维向基底膜垂直方向。在真皮层深层可见紧密间隔的梭形细胞,纤维形成波纹状结构。细胞核深染,形状拉长,未见非典型有丝分裂。在为诊断目的而进行的肉瘤类型鉴定过程中的病理组织学检查可导致溃疡的快速生长和形成。对马肉瘤的最终诊断可结合临床症状、组织病理学检查和分子基因检测以及BPV DNA的分离。
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Patho-histological features of fibroblastic sarcoid in horses
Sarcoid is one of the most common skin tumours, which is diagnosed in various breeds of horses at any age regardless of the animal’s sex. Such fibroblastic neoplasm manifests itself in several clinical ways with its specific morphological features. As a rule, it metastasizes rarely but can be locally invasive. The disease’setiology is multifactorial and includes the confirmed role of the bovine papillomavirus and genetic and environmental factors. The article introduces the results of a retrospective study of horses of the Ukrainian riding breed with a fibroblastic sarcoid type, which was localized mainly in the area of the external thoracic vein. Neoplasms were represented by two types. The first one included broad base neoplasms without a pronounced pedicle but with signs of hyperkeratosis. Massive rounded dense formations with an ulcerated surface refer to the second type. To verify the studied types of sarcoid, wide surgical excision of the lesion’svisible parts was performed, followed by the selection of fragments for the pathohistological diagnosis. Also, additional staining methods were used to detect the connective and muscle tissue (Van Gieson’s staining) and elastic fibers (Weigert’s resorcin-fuchsin staining). Microscopically, the neoplasm without a visible pedicle showed signs of hyperkeratosis and acanthosis in the peritumoral epidermal layer. Epidermis desquamation with a significant amount of oxyphilic detritus, diapedesis hemorrhages, and dilated vessels was also detected in some areas. Chaotic placement of fibroblasts and fibrocytes was noted, to a greater extent, subdermally. Anisocytosis and anisokaryosis were expressed moderately. Sarcoids, macroscopically presented in the form of massive dense formations with an ulcerated surface, were histologically characterized by the replacement of the epidermis with cellular elements, subdermal hemorrhages, and the characteristic perpendicular orientation of coarse collagen fibers towards the basement membrane. Closely spaced spindle-shaped cells with fibers forming moiré structures were visualized in the deep dermis layers. Nuclei were hyperchromic and elongated in shape, no atypical mitoses were noted. Pathohistological examination during the identification of a sarcoid type for diagnostic purposes can cause rapid growth and formation of an ulcer. The final diagnosis regarding equine sarcoid can be made based on a combination of clinical signs, histopathological examination, and molecular genetic testing with the isolation of BPV DNA.
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CiteScore
0.90
自引率
0.00%
发文量
25
审稿时长
10 weeks
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