上颌牙龈疣状黄色瘤1例。结合免疫化学和超微结构观察。免疫化学和超微结构观察

M. Mishina, Ryuichi Nemoto, Michio Furuta, T. Ohno
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摘要

本文报告一59岁女性左上第一前磨牙至第一磨牙牙龈黏膜疣状黄色瘤。这是一种罕见的口腔病变,有疣状或乳头状外观。Shafer于1971年首次描述了这种疾病,其组织病理学特征是在耳膜中出现疣状生长和黄色瘤细胞增殖。在日本,Kikuchi等人于1977年报告了首例病例。从那时起,到目前为止已经发表了近40个病例。本文报告1例疣状黄色瘤及其光镜、免疫化学和电镜指征。免疫化学结果显示,泡沫细胞S-100蛋白呈阴性,溶菌酶和NCA(非特异性癌胚交叉反应抗原)呈阳性,提示泡沫细胞来源于单核-巨噬细胞系。
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A case of verruciform xanthoma of the gingiva on upper jaw. With immunochemical and ultrastructural observation.:with immmochemical and ultrastructural observation
Verruciform xanthoma arising from the gingival mucosa of the upper left first premolar to first molar area of a 59-year-old female is presented. It is a rare lesion of the oral cavity which has a warty or papillary appearance. It was first described by Shafer in 1971 with histopathological characteristics of verruciform growth and proliferation of xanthoma cells in the lamina propia.In Japan Kikuchi et al. reported the first case in 1977. Since then almost 40 cases have so far been published.This article described a case of Verruciform xanthoma together with its light, immunochemical and and electron microscopic fingings. Judging from the immunochemical finding, foamy cells were negative for S-100 protein and positive for lysozyme and NCA (non-specific cross reacting antigen with carcinoembryonic antigen), all of which were suggested that they were derived from monocyte-macrophage cell lines.
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