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Zur Ultrastruktur fibröser und histiocytärer Hauttumoren (Dermatofibrom, Dermatofibrosarcoma protuberans, Fibroxanthom und Histiocytom)

The ultrastructure of fibrous and histiocytic skin tumors (dermatofibroma, dermatofibrosarcoma protuberans, fibroxanthoma, and histiocytoma)

Summary

A report on the ultrastructure of the following skin tumors: dermatofibroma (7 cases), histiocytoma (4 cases), dermatof ibrosarcoma protuberans (1 case), and fibroxanthoma (1 case). Because of their different ultrastructural characteristics a division into two groups is possible: one group of tumors would include dermatofibroma, dermatofibrosarcoma protuberans, and fibroxanthoma, where the formation of fibers is extensive and fibroblasts are suggested for its histogenesis. These types of tumor differ from histiocytoma, the cellular character of which is determined by a very pronounced phagocytosis and storage of lipid and hemosiderin; a histogenesis from histiocytes is probable. The nuclei of dermatofibroma and histiocytoma show a simple surfacedevelopment, whereas the nuclei of dermatofibrosarcoma protuberans and fibroxanthoma show multisegmented nuclei (“labyrinth nuclei”). In the case of dermatofibrosarcoma protuberans this kind of nuclear segmentation seems to be a morphologic correlate of its semimalignancy. Based on ultrastructural analysis a classification of these fiber-producing tumors into “fibrous histiocytomas” is not justified.

Zusammenfassung

Es wird über den Feinbau folgender Hauttumoren berichtet: Dermatofibrom (7 Fälle), Histiozytom (4 Fälle), Dermatofibrosarcoma protuberans (1 Fall) und Fibroxanthom (1 Fall). Aufgrund ihrer unterschiedlichen ultrastrukturellen Merkmale ist eine zweifache Unterteilung dieser Hauttumoren möglich: In eine Tumorgruppe, umfassend das Dermatofibrom, Dermatofibrosarcoma protuberans und Fibroxanthom, bei der die Faserbildung im Vordergrund steht und für deren Histogenese Fibroblasten angenommen werden können. Diese Tumortypen unterscheiden sich vom Histiozytom, dessen Zellcharakter vor allem durch die stark ausgeprägte Phagozytose- und Speichertätigkeit (Fett und Hämosiderin) bestimmt wird und für welches eine histogenetische Ableitung von Histiozyten wahrscheinlich ist. Die Zellkerne des Dermatofibromes und des Histiozytomes weisen einen einfachen Oberflächenverlauf auf, die des Dermatofibrosarcoma protuberans und Fibroxanthomes haben hingegen sehr stark gegliederte Formationen („Labyrinthkerne”). Diese Kernsegmentierung ist für das Dermatofibrosarcoma protuberans ein morphologisches Korrelat seiner Semimalignität. Eine Klassifizierung der faserbildenden Tumoren als „fibröse Histiozytome” erscheint aufgrund der ultrastrukturellen Analyse nicht gerechtfertigt.

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Auböck, L. Zur Ultrastruktur fibröser und histiocytärer Hauttumoren (Dermatofibrom, Dermatofibrosarcoma protuberans, Fibroxanthom und Histiocytom). Virchows Arch. A Path. Anat. and Histol. 368, 253–274 (1975). https://doi.org/10.1007/BF00432527

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Key words

  • Tumors of the skin
  • Histogenesis
  • Classification
  • Labyrinth nuclei
  • Electron microscopy