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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Virchows Archiv 389 (1980), S. 1-11 
    ISSN: 1432-2307
    Keywords: Soft tissue sarcoma ; Myofibroblasts ; Ultrastructure ; Host response
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A series of 129 soft tissue sarcomas was examined ultrastructurally to determine in which neoplasms and to what extent myofibroblasts could be demonstrated. Twenty cases of fibromatosis and fasciitis served as controls. Myofibroblasts were identified in all 30 cases of malignant fibrous histiocytoma and all 4 cases of well-differentiated sclerosing liposarcoma. Though most numerous in areas of desmoplasia, in no instance did myofibroblasts constitute the dominant cellular constituent of either neoplasm. Myofibroblasts were identified with lesser frequency and in smaller numbers in fibrosarcoma, synovial sarcoma, malignant hemangiopericytoma and neuroblastoma. None were observed in a wide assortment of diverse sarcomas in which desmoplasia was not a feature. In comparison each lesion judged by light microscopy to represent either fibromatosis or fasciitis was composed principally of myofibroblasts. The demonstration of abundant myofibroblasts within a soft tissue lesion which has been subjected to wide sampling strongly suggests a benign proliferative process as opposed to a malignant neoplasm. It is hypothesized that myofibroblasts observed within collagenized regions of soft tissue sarcomas may constitute an expression of host response to neoplasia.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-2307
    Keywords: Matrix ; Myofibroblast ; Breast carcinoma ; Collagen ; Laminin ; Fibronectin
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The matrix of mammary dysplasia, noninvasive ductal carcinoma, and invasive lobular and ductal carcinoma was analyzed by indirect immunofluorescence using antibodies to types I, proIII, III, and IV collagens, and laminin and fibronectin. Types proIII and III collagens were present in increased amounts in invasive carcinomas and were most abundant in the “young” edematous mesenchyme, areas corresponding to the peripheral invasive cellular front. Type I collagen was distributed throughout the matrix of invasive carcinomas but was most prominent within the central sclerotic zone of the neoplasms. Mammary dysplasia and noninvasive ductal carcinomas showed a uniform fibrillar and granular distribution of all types of collagen. In all but two cases of invasive carcinoma, staining with anti-laminin and anti-type IV collagen demonstrated the loss of basement membranes around tumor cells. In contrast, fluorescence pattern in noninvasive ductal carcinoma and dysplasia revealed an intact basement membrane. The distribution of fibronectin was similar to types proIII and III collagen. These findings support and extend our previous studies which suggested an analogy between the dynamics of matrix changes in granulation tissue and invasive carcinomas. These data also strengthen the concept that the myofibroblast could be a pivotal cell involved in the synthesis and redistribution of matricial proteins. The loss of basement membrane in invasive carcinomas appears to be an initial step for inducing the matricial alterations.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Virchows Archiv 385 (1980), S. 283-291 
    ISSN: 1432-2307
    Keywords: Hodgkin's disease ; Myofibroblasts ; Ultrastructure ; Nodular sclerosis ; Host response
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Ten cases of nodular sclerosing Hodgkin's disease involving lymph nodes were studied by electron microscopy to determine the ultrastructural composition of the nodule-stromal interphase and the collagenized regions. In addition to a few lymphocytes, rare eosinophils and neutrophils, abundant filamentous and granular electron dense material, collagen fibers and myofibroblasts were observed in all instances. Since myofibroblasts possess contractile and synthetic properties, it is likely they contribute to the retraction and sclerosis which together represent one of the morphologic hallmarks of the disease. The dense fibrosis and contractile state of such tissue may constitute a beneficial host response to contain and limit local and vascular invasion by the neoplastic cellular population, thus contributing to the relative benignity of this form of Hodgkin's disease.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1432-2307
    Keywords: Stroma ; Myofibroblast ; Breast Carcinoma ; Fibromatosis ; Vimentin
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The intermediate filament cytoskeleton of stromal myofibroblasts from a series of twenty-eight infiltrating ductal breast carcinomas was examined by transmission electron microscopy (TEM) and indirect immunofluorescence (IF), the latter using antibodies to desmin, vimentin and prekeratin. Three cases of fibromatoses, selected as an additional source of myofibroblasts, were processed in the same manner. Stromal myofibroblasts from invasive ductal breast carcinomas rich in actin and readily identified by IF, were most numerous in the “young” edematous mesenchyme, areas corresponding to early stromal invasion or the peripheral invasive cellular front. Within the central sclerotic zone wherein clusters of neoplastic epithelial cells were surrounded by abundant collagen, most stromal cells corresponded by TEM to fibroblasts. In like fashion, myofibroblasts were most numerous in cellular, poorly collagenized portions of fibromatoses. By IF the only detectable intermediate filament protein of myofibroblasts in these two settings was vimentin. Since the appearance of stromal myofibroblasts appears to be associated with stromal invasion by malignant epithelium, their development by modulation of pre-existent periductal fibroblasts is postulated. With the exception of vascular smooth muscle cells and endothelial cells, the only periductal mesenchymal cells shown to contain vimentin were fibroblasts. The lack of desmin in myofibroblasts constitutes evidence against an origin from vascular smooth muscle cells. Because the molecular markers (intermediate filament proteins) of stromal cell differentiation presented quantitative but not qualitative modifications, the transformation of fibroblasts into myofibroblasts is quite likely, suggesting that myofibroblasts may be more closely related to fibroblasts than to smooth muscle cells.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1432-2307
    Keywords: Carcinoid ; Argentaffin ; Metastasis ; Breast
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A metastasis to the breast was the first manifestation of a clinically occult ileal carcinoid in a 53 year old woman. Modified radical mastectomy was performed after the breast neoplasm had been interpreted clinically and pathologically as a primary carcinoma. Permanent sections demonstrated the tumor to be composed of sheets of small uniform cells subdivided into lobules by delicate vascular septa. Silver impregnation revealed the presence of argentaffin cytoplasmic granules. This feature, with the added ultrastructural findings which showed pleomorphic neurosecretory-type granules within the cytoplasm of the tumor cells strongly suggested a metastasis to the breast from a midgut carcinoid. The subsequently performed barium study of the small bowel showed an infiltrating neoplastic lesion in the terminal ileum, which after surgical excision and histologic examination proved to be two typical argentaffin carcinoids with pleomorphic cytoplasmic granules. This report thus clearly demonstrates the importance of a combined light microscopic, histochemical and ultrastructural analysis of this breast neoplasm in order to establish its metastatic origin and to separate it from a primary carcinoma or a primary carcinoid of the breast.
    Type of Medium: Electronic Resource
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