Immunohistochemical studies were performed for the presence of S-100b protein in non-neoplastic and neoplastic salivary gland tissues by the peroxidase anti-peroxidase (PAP) method. Some cases of pleomorphic adenoma were investigated by immuno-electron microscopy. S-100b protein could not be detected in epithelial cells of intercalated ducts, acini, striated ducts and excretory ducts of non-neoplastic salivary gland. However, myoepithelial cells surrounding the acini and intercalated ducts were specifically stained by S-100b protein. In pleomorphic adenomas, S-100b protein-positive cells could be mostly observed in the myxoid and chondroid areas, and the basal layer cells of the double-layered ductal cells were also positive. In clear cell adenoma, the clear cells were also S-100b protein positive. In adenoid cystic carcinomas, S-100b protein-positive cells could be found in trabecular areas, but not in tumor cells showing cribriform-pattern. In other tumors (Warthin's tumor, oxyphilic adenoma, basal cell adenoma, mucoepidermoid tumor and acinar cell carcinoma), S-100b protein positive cells were seldom observed. Immuno-electron microscopically, S-100b protein was diffusely distributed in the cytoplasm of myoepithelial cells as well as of tumor cells of pleomorphic adenoma, being distributed especially on the membrane of endoplasmic reticulum and the outer nuclear membrane.
In an autopsy series in Hiroshima and Nagasaki, Japan, cervical lymph node dissections were performed in 128 autopsy cases in which occult papillary thyroid carcinoma had been found, and metastatic carcinoma was demonstrated in 20 cases (16%). These 20 cases with metastatic carcinoma, and an additional 25 occult papillary thyroid carcinomas previously known to have metastases, were compared with the 108 cases which had lymph node dissections negative for metastatic thyroid carcinoma. Significantly increased lymph node metastases occurred in association with the following changes in the the thyroid gland: multiple tumor foci, larger tumor size, greater tumor invasiveness, more than 50% papillary differentiation, and tumor psammoma bodies. Metastases were significantly more frequent in men than in women. In 5 of the 25 additional cases, only the cervical lymph node metastases and no tumor in the thyroid glands were found at routine autopsy. Special thyroid reexamination revealed the small primary carcinomas. In this autopsy series, no thyroid follicle inclusions have been found in cervical lymph nodes in the absence of a primary thyroid carcinoma. The metastases were generally occult, and sometimes multiple, contralateral, and bilateral. In the entire autopsy series, only one occult thyroid carcinoma was the cause of death; 517 other persons with occult papillary carcinoma of the thyroid reached the end of their lifespan without awareness or manifestation of the presence of the tumor.
The pathologic changes in the spinal cord of three autopsied cases associated with ossification of the posterior longitudinal ligament ( OPLL ) are reported. Compression of the spinal cord was marked at the level of the intervertebral disc, and the spinal cord was strikingly flattened antero-posteriorly. Intensive damage was seen in the gray matter as compared to the white matter. The white matter showed demyelination and axon loss with status spongiosus, which was more marked in the postero-lateral than in the anterior columns. The most seriously damaged parts of the spinal cord showed tissue necrosis and cavity formation which extended from the central parts of the gray matter to the ventral parts of the posterior columns. Adventitial fibrous thickening of the vein, hyaline degeneration of the walls of the arterioles, and compression of the anterior spinal vein were observed in the damaged regions. It was evident that secondary circulatory disturbance due to the compression produced by the ossification was of significance in the pathogenesis of the spinal cord damage. A tangle of peripheral nerves, ectopic and reactive, with Schwann cell proliferation was present in the posterior median fissure and the postero-lateral columns in one case. The spinal nerve roots that showed marked demyelination and axon loss were damaged by ossification at the places where the anterior nerve roots emerged from the spinal cord and where the roots penetrate the dura. There was ossification of the dura mater in all cases examined.
In order to clarify the development of periportal bile duct in the human embryo, the liver tissue of a 13 week-old human embryo was studied using the electron as well as light microscope.The findings observed in this study lead to the following conclusions: The biliary epithelial cell originates from the periportal hepatoblast under certain influences of the connective tissue. The periportal bile duct is formed by the proliferation of the biliary epithelial cells surrounding the biliary space. The so-called intermediate cell between the biliary epithelial cell and the hepatoblast is not recognized in the human fetal liver of 13 weeks gestation. ACTA PATH. JAP. 24: 427-447, 1974.
Humoral and cellular dynamics in the periarterial lymphatic sheath (PALS) of the splenic white pulp were investigated in regards to the lymph flow and the architecture of the deep lymphatics in rat spleens. The effects of the splenic venous pressure on the lymph flow were also examined. We found a remarkable depletion of lymphocytes in the PALS and strong lymph flow to the deep lymphatics from the red pulp when the spleen was perfused via the splenic artery at a high speed with a high venous pressure. It was evident that lymphocyte depletion in the PALS depended on the venous pressure during the perfusion. Hemorrhage and lymphocyte depletion in the PALS also occurred after the ligature of the splenic vein. The migration of charcoal particles into the PALS via the red pulp was observed after intravenous or direct injection of charcoal particles. However, the briding channels in the marginal zone (MZ were always free of charcoal particles. The existence of deep lymphatics was confirmed around the central arteries which were more than 20 μm in diameter. The ligature of the thoracic duct resulted in the dilatation of the deep lymphatics and intercellular spaces which were easily recognized as the termination of the splenic lymphatics. The terminal lymphatics were localized only in the PALS but not in the follicles. Therefore, the PALS might be considered to act as a central station of the extra‐vascular pathway which is connected to both the deep lymphatics and the MZ bridging channels. ACTA PATHOL. JPN. 34: 1301–1311, 1984.
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