2006, Number 1
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Gac Med Mex 2006; 142 (1)
Adenomatoid tumor of the genital tract. Clinical, pathological and inmunohistochemical study in 9 cases.
Canedo-Patzi AM, León-Bojorgea B, Ortíz-Hidalgo C
Language: Spanish
References: 36
Page: 59-66
PDF size: 643.73 Kb.
ABSTRACT
Objetive: Describe the histological and immunohistochemical features of nine genital tract adenomatoid tumors .
Material and methods: Nine cases of adenomatoid tumors were collected from the files of the Pathology department at a private hospital (ABC Hospital). Tumors were studied from a histological and inmunohistochemical perspective.
Results: Eight women and one man were studied. Age range was 28- 54 yrs. Tumors were located in the uterus (seven), fallopian tube (one) and epididymis (one). Tumor size ranged from 0.4 to 5.8 cm. We observed three histological patterns: adenoid, angiomatoid and solid. Arrangement of the neoplastic tubules around fascicles of smooth muscle; angiomatoid pattern with a peripheral location, and solid and adenoid patterns with a central location in the tumor were some of the observed histological features. Immunohistochemically all tumors exhibited strong and diffuse positivity for calretinin and AE1/AE3. Thrombomodulin was positive in all tumors (focal and weak in angiomatoid pattern and diffuse and strong in adenoid and solid patterns). The CK5/6 antibody was positive in seven tumors (diffuse in three and focal in four). Two tumors were negative for this marker. All tumors were negative for CD31.
Conclusions: The immunophenotype of the adenomatoid tumors in our series confirms their mesothelial origin.
REFERENCES
1.Golden A, Ash J. Adenomatoid tumors of genital tract. Am J Pathol1945;21:63-80.
2.Angeles A, Reyes E, Munoz L, Angritt P. Adenomatoid Tumor of the RightAdrenal Gland in a Patient with AIDS. Endocr Patho. 1997;8:59-64.
3.Isotalo PA, Keeney GL, Sebo TJ, Riehle DL. Adenomatoid Tumor of theAdrenal Gland. A clinicopathologic Study of Five Cases and Review of theLiterature. Am J Surg Pathol 2003;27:969-977.
4.Chung-Park M, Yang JT, Mc Henry CR, Khiyami A. Adenomatoid tumorof the adrenal gland with micronodular adrenal cortical hyperplasia. HumPathol 2003;34:818-821.
5.Glatz K, Wegmann W. Papillary adenomatoid tumour of the adrenal gland.Histopathology 2000;37:376-377.
6.Isotalo PA, Nascimento AG, Trastek VF, Wold LE, Cheville JC. Extragenitaladenomatoid tumor of a mediastinal lymph node. Mayo Clinic Proc2003;78:350-354.
7.Plaza JA, Domínguez F, Suster S. Cystic adenomatoid tumor of themediastinum. Am J Surg Pathol 2004;28:132-138.
8.Natarajan S, Luthringer DJ, Fishbein MC. Adenomatoid Tumor of the Heart:Report of a Case. Am J Surg Pathol 1997;21:1378-1380.
9.Overstreet K, Wixom C, Shabaik A, Bouvet M, Herndier B. Adenomatoidtumor of the pancreas: a case report with comparison of histology andaspiration cytology. Mod Pathol 2003;16:613-617.
10.Kaplan MA, Tazelarr HD, Hayashi T. Adenomatoid tumors of the pleura.Am J Surg Pathol 1996;20:1219-1223.
11.Taxy JB, Battifora H, Oyasu R. Adenomatoid tumors: a light microscopic,histochemical, and ultrastructural study. Cancer 1974;34:306-316.
12.Delahunt B, Eble JN, King D, Bethwaite PB, Nacey JN, Thornton A.Immunohistochemical evidence for mesothelial origin of paratesticularadenomatoid tumor. Histopathology 2000;36:109-115.
13.Cheng CL, Wee A. Diffuse Uterine Adenomatoid Tumor in anImmunosuppressed Renal Transplant Recipient. Int J Gynecol Pathol2003;22:198-201.
14.Mitsumori A, Morimoto M, Matsubara S, Yamamoto M, Akamatsu N,Hiraki Y. MR Appearance of Adenomatoid Tumor of the Uterus. J ComputAssist Tomogr 2000;24:610-613.
15.Skinnider BF, Young RH. Infarcted Adenomatoid Tumor. A Report of FiveCases of a Facet of a Benign Neoplasm That May Cause DiagnosticDifficulty. Am J Surg Pathol 2004;28:77-83.
16.Hes O, Perez M, Alvarado C, Zamecnik M, Podhola M, Sulc M, et al.Thread-like bridging strands: A morphologic feature present in all adenomatoidtumors. Ann Diagn Pathol 2003;7:273-277.
17.Di Stefano D, Faticanti SL, Covello R, Martinazzoli A, Meli C, BosmanC.Uterine diffuse adenomatoid tumor. Does it represent a differentbiological entity. Gynecol Obstet Invest. 1998;46:68-72.
18.Zhu L, Li B. Clinical pathological analysis of adenomatoid tumor in uterusand ovaries. Zhonghua Bing Li Xue Za Zhi 2001;30:43-45.
19.Chan JK, Fong MH. Composite multicystic mesothelioma and adenomatoidtumour of the uterus: different morphological manifestations of the sameprocess. Histopathology 1996;29:375-377.
20.Irikoma M, Takahashi K, Kurioka H, Miyazaki K, Kamei T. Uterineadenomatoid tumors confirmed by immunohistochemical staining. ArchGynecol Obstet 2001;265:151-154.
21.Battifora H, McCaughey E. Tumors of the Serosal Membranes. Atlas ofTumor Pathology. Armed Forces Institute of Pathology. Washington D.C.1995:94-96.
22.Hanada S, Okumura Y, Kaida K. Multicentric adenomatoid tumors involvinguterus, ovary and appendix. J Obstet Gynaecol Res 2003;29:234-238.
23.Tiltman AJ. Adenomatoid tumours of the uterus. Histopathology 1980;4:437-443.
24.Quigley JC, Hart WR. Adenomatoid tumor of the uterus. Am J Clin Pathol1981;76:627-635.
25.Nogales FF, Isaac MA, Hardisson D, Bosincu L, Palacios J, Ordi J, etal.Adenomatoid tumors of the uterus: an analysis of 60 cases. Int JGynecol Pathol 2002;21:34-40.
26.Bell DA, Flotte TJ. Factor VIII Related Antigen in Adenomatoid Tumors.Implications for Histogenesis. Cancer 1982;50:932-938.
27.Fukushima N, Oonishi T, Yamaguchi K, Fukayama M. Mesothelial cystof the adrenal gland. Pathol Int 1995;45:156-159.
28.Mai KT, Yazdi HM, Perkins DG, Isotalo PA. Adenomatoid tumor of theepididymis: ultraestructural evidence of its biphasic nature. UltrastructPathol 1980;1:39-47.
29.Mai KT, Yazdi HM, Perkins DG, Isotalo PA. Adenomatoid tumor of thegenital tract; evidence of mesenchymal cell origin. Pathol Res Pract1999;195:605-610.
30.Goddard MJ, Grant JW. Adenomatoid tumours: a mucin histochemical andimmunohistochemical study. Histopathology 1992;20:57-61.
31.Kawamura K, Sekiguchi K, Shibta S, Fukuda J, Kodama H, Tanaka T.Immunohistochemical analysis of adenomatoid tumor of the uterus utilizing ofmonoclonal antibody HBME-1. Acta Obstet Gynecol Scand 2000;79:798-799.
32.Cury PM, Butcher DN, Fisher C, Corrin B, Nicholson AG. Value of themesothelium-associated antibodies thrombomodulin, cytokeratin 5/6,calretinin, and CD44H in distinguishing epithelioid pleural mesothelioma fromadenocarcinoma metastatic to the pleura. Mod Pathol 2000;13:107-112.
33.Shintaku M, Sasaki M, Honda T. Thrombomodulin immunoreactivity inadenomatoid tumour of the uterus. Histopathology 1996;28:375-377.
34.Lugli A, Forster Y, Haas P, Nocito A, Bucher C, Bissig H, et al. Calretininexpression in human normal and nepotistic tissues: a tissue microarrayanalysis on 5233 tissue samples. Hum Pathol 2003;34:994-1000.
35.Doglioni C, Tos AP, Laurino L, Luzzolino P, Chiarelli C, Celio MR, VialeG.Calretinin: a novel immunocytochemical marker for mesothelioma. AmJ Surg Pathol 1996;20:1037-1046.
36.Amin MB. Selected other problematic testicular and paratesticular lesions:rete testis neoplasms and pseudotumors, mesothelial lesions and secondarytumors. Pathology of the gonads. 2004 Long Course. InternationalAcademy of Pathology. Pág. 208.