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Hepatoid carcinoma of the skin: spontaneous rat skin hepatoid carcinoma with eosinophilic globules and crystals immunoreactive to α-1-antitrypsin

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Abstract

We present a case of hepatoid carcinoma of the abdominal skin in a male Wistar rat. Histopathologically, this carcinoma resembled human hepatocellular carcinoma with respect to trabecular-sinusoidal structures. Carcinoma tissues contain numerous eosinophilic globules and crystals, and in this case, we found the characteristic eosinophilic globules in the hepatoid carcinoma cells and the crystals in the extracellular portions. Vivid carcinoma cells full of eosinophilic globules were present near the necrotic areas in tumor tissue, wherein quadrate crystals unstained with eosin were observed. PAS staining after diastase digestion revealed that the globules were PAS positive and diastase resistant. In addition, we found that the hepatoid carcinoma cells were immunoreactive for α-1-antitrypsin (anti-A1AT) antibody with the globules and crystals staining peripherally, and a central unstained region. Ultrastructural study of intracytoplasmic globules and extracellular crystals revealed that the fringe of each globule and crystal had no limiting membrane and showed the same level of electron density. These findings suggest that the characteristic crystals in this tumor may have originated from the globules that were emitted from the carcinoma cells after their death as a result of saturation with intracytoplasmic globules.

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References

  1. Sun Z, Yang P (2004) Role of imbalance between neutrophil elastase and α1-antitrypsin in cancer development and progression. Oncology 5:182–190

    PubMed  CAS  Google Scholar 

  2. Crystal RG (1990) α1-Antitrypsin deficiency, emphysema and liver disease: genetic basis and strategies for therapy. J Clin Invest 85:1343–1352

    Article  PubMed  CAS  Google Scholar 

  3. Teckman JH, Qu D, Perlmutter DH (1996) Molecular pathogenesis of liver disease in α1-antitrypsin deficiency. Hepatology 24:1504–1516

    PubMed  CAS  Google Scholar 

  4. Lomas DA, Evans DL, Finch JT, Carrell RW (1992) The mechanism of Z α1-antitrypsin accumulation in the liver. Nature (Lond) 357:605–607

    Article  CAS  Google Scholar 

  5. Lomas DA, Mahadeva R (2002) α1-Antitrypsin polymerization and the serpinopathis: pathobiology and prospects for therapy. J Clin Invest 110:1585–1590

    PubMed  CAS  Google Scholar 

  6. Rudnick DA, Liao Y, An JK, Muglia LJ, Perlmutter DH, Teckman JH (2004) Analyses of hepatocellular proliferation in a mouse model of α1-antitrypsin deficiency. Hepatology 39:1048–1055

    Article  PubMed  CAS  Google Scholar 

  7. Rudnick DA, Perlmutter DH (2005) Alpha-1-antitrypsin deficiency: a new paradigm for hepatocellular carcinoma in genetic liver disease. Hepatology 42:514–521

    Article  PubMed  CAS  Google Scholar 

  8. Sato T (1968) A modified for lead staining of thin sections. J Electron Microsc 17:158–159

    CAS  Google Scholar 

  9. Ishikura H, Fukasawa Y, Ogasawara K, Natori T, Tsukada Y, Aizawa M (1985) An AFP-producing gastric carcinoma with feature of hepatic differentiation: a case report. Cancer (Phila) 56:840–848

    Article  CAS  Google Scholar 

  10. Hruban RH, Molina JM, Reddy MN, Boitnott JK (1987) A neoplasm with pancreatic and hepatocellular differentiation presenting with subcutaneous fat necrosis. Am J Clin Pathol 88:639–645

    PubMed  CAS  Google Scholar 

  11. DeLorimier A, Park F, Aranha GV, Reyes C (1993) Hepatoid carcinoma of the stomach. Cancer (Phila) 71:293–296

    Article  CAS  Google Scholar 

  12. Koswara T, Marwoto W, Siregar NC, Gumay S, Azis H, Abdullah M, Himawan S (2007) Hepatoid carcinoma of the gallbladder. Acta Med Indones 39:179–182

    PubMed  Google Scholar 

  13. Sinard J, Macleay L Jr, Melamed J (1994) Hepatoid adenocarcinoma in the urinary bladder. Unusual localization of a newly recognized tumor type. Cancer (Phila) 73:1919–1925

    Article  CAS  Google Scholar 

  14. Yigit S, Uyaroglu MA, Kus Z, Ekinci N, Oztekin O (2006) Hepatoid carcinoma of the ovary: immunohistochemical finding of one case and literature review. Int J Gynecol Cancer 16:1439–1441

    Article  PubMed  CAS  Google Scholar 

  15. Ishikura H, Scully RE (1987) Hepatoid carcinoma of the ovary. A newly described tumor. Cancer (Phila) 60:2775–2784

    Article  CAS  Google Scholar 

  16. Paner GP, Thompson KS, Reyes CV (2000) Hepatoid carcinoma of the pancreas. Cancer (Phila) 88:1582–1589

    Article  CAS  Google Scholar 

  17. Roberts CC, Colby TV, Batts KP (1997) Carcinoma of the stomach with hepatocyte differentiation. Mayo Clin Proc 72:1154–1160

    Article  PubMed  CAS  Google Scholar 

  18. Fukunaga M, Fujiwara Y, Naito Z (2006) Hepatoid carcinoma with serous component of the fallopian tube: a case report with immunohistochemical and ultrastructural studies. Int J Gynecol Pathol 25:233–237

    Article  PubMed  Google Scholar 

  19. Eriksson S, Carlson J, Velez R (1986) Risk of cirrhosis and primary liver cancer in α1-antitrypsin deficiency. N Engl J Med 314:736–739

    PubMed  CAS  Google Scholar 

  20. Ishak KG, Goodman ZD, Stocker JT (2001) Hepatocellular carcinoma. In: Rosai J, Sobin LH (eds) Tumors of the liver and intrahepatic bile ducts. Armed Forces Institute of Pathology Press, Washington, DC, pp 199–230

    Google Scholar 

  21. Lopez-Beltran A, Luque RJ, Quintero A, Requend MJ, Montroni R (2003) Hepatoid adenocarcinoma of the urinary bladder. Vichows Arch 442:381–387

    CAS  Google Scholar 

  22. Kishimoto T, Nagai Y, Kato K, Ozaki D, Ishikura H (2000) Hepatoid adenocarcinoma: a new clinicopathological entity and the hypotheses on carcinogenesis. Med Electron Microsc 33: 57–63

    Article  PubMed  CAS  Google Scholar 

  23. Nakanuma Y, Ohta G (1986) Expression of Mallory bodies in hepatocellular carcinoma in man and its significance. Cancer (Phila) 57:81–86

    Article  CAS  Google Scholar 

  24. Hoso M, Nakanuma Y (1990) Clinicopathological characteristics of hepatocellular carcinoma bearing Mallory bodies an autopsy study. Liver 10:264–268

    PubMed  CAS  Google Scholar 

  25. MacDonald K, Bedard YC (1990) Cytologic, ultrastructural and immunologic features of intracytoplasmic hyaline bodies in fine needle aspirates of hepatocellular carcinoma. Acta Cytol 34: 197–200

    PubMed  CAS  Google Scholar 

  26. Moon SW, Yu HC, Chung MJ, Kang MJ, Lee DG (2000) Pale bodies in hepatocellular carcinoma. J Korean Med Sci 15:516–520

    PubMed  CAS  Google Scholar 

  27. Scheuer PJ (2000) Childhood liver disease and metabolic disorders. In: Lefkowitch JH (ed) Liver Biopsy Interpretation, London, pp 255–269.

    Google Scholar 

  28. Ooi A, Nakanishi I, Sakamoto N, Tsukada Y, Takahashi Y, Minamoto T, Mai M (1990) Alpha-fetoprotein (AFP)-producing gastric carcinoma. Cancer 65:1741–1747

    Article  PubMed  CAS  Google Scholar 

  29. Soini Y, Miettinen M (1988) Widespread immunoreactivity for alpha-1-antichymotrypsin in different types of tumors. Am Clin Pathol 89:131–136

    Google Scholar 

  30. Motori M, Stein H, Lennert K (1980) Demonstration of lysozyme α1-antichymotrypsin, α1-antitrypsin, albumin and transferring with the immunoperoxidase method in lymph node cells. Virchows Arch 35:73–82

    Article  Google Scholar 

  31. Leader M, Patel J, Collins M, Henry K (1987) Anti-alpha-1-antichymotrypsin staining of 194 sarcomas, 38 carcinoma and 17 malignant melanomas. Its lack of specificity as a tumor marker. Am J Surg Pathol 11:133–139

    Article  PubMed  CAS  Google Scholar 

  32. Tennekes H, Kaufmann W, Dammann M, van Ravenzwaay B (2004) The stability of historical control data for common neoplasms in laboratory rats and the implications for carcinogenic risk assessment. Regul Toxicol Pharmacol 40:293–304

    Article  PubMed  CAS  Google Scholar 

  33. Bomhard E (1992) Frequency of spontaneous tumors in Wistar rats in 30-months studies. Exp Toxicol Pathol 44:381–392

    PubMed  CAS  Google Scholar 

  34. Walsh KM, Poterack J (1994) Spontaneous neoplasms in control Wistar rats. Fundam Appl Toxicol 22:65–72

    Article  PubMed  CAS  Google Scholar 

  35. Bomhard E, Rinke M (1994) Frequency of spontaneous tumours in Wistar rats in 2-year studies. Exp Toxicol Pathol 46:17–29

    PubMed  CAS  Google Scholar 

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Correspondence to Mihoko Sutoh.

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Sutoh, M., Chiba, M., Kasai, K. et al. Hepatoid carcinoma of the skin: spontaneous rat skin hepatoid carcinoma with eosinophilic globules and crystals immunoreactive to α-1-antitrypsin. Med Mol Morphol 42, 118–122 (2009). https://doi.org/10.1007/s00795-009-0440-4

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  • DOI: https://doi.org/10.1007/s00795-009-0440-4

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