alpha-chymotrypsin and Histiocytoma--Benign-Fibrous

Topics: Aged; alpha 1-Antichymotrypsin; Chymotrypsin; Collagen; Female; Histiocytes; Histiocytoma, Benign Fibrous; Humans; Mitosis; Muramidase; Necrosis; Stomach; Stomach Neoplasms; Vimentin

We have studied the possible origin of histiocytic cells, present in fibrous histiocytomas (MFH) by using immunohistochemistry to demonstrate lysozyme, alpha 1-antitrypsin, alpha 1-antichymotrypsin and receptors for peanut and soy bean agglutinin in tumour cells of MFH compared with their presence in tumour cells of malignant histiocytosis (MH) ('true' histiocytic lymphoma, 'true' histiocytic sarcoma). We included in this study a number of other soft tissue tumours (STT). Lysozyme was detected in half of the cases of malignant histiocytosis (n = 16) but in only two out of 77 MFH. alpha 1-Antitrypsin and alpha 1-antichymotrypsin usually occurred together although the latter was seen in more cases. Both markers were present in majority of cases of MH whereas they were detected in a minority of cases of MFH. MFH cases of the storiform subtype were less frequently stained than the pleomorphic or giant cell subtypes. Receptors for peanut or soy bean agglutinin were detected in nearly all MH cases, whereas their presence was only detected in a small number of MFH. Lysozyme was not detectable in other STT. alpha 1-Antitrypsin and alpha 1-antichymotrypsin were uncommonly present in other STT, except in osteosarcoma and rhabdomyosarcoma. These markers therefore have a limited value as indicators of a possible histiocytic origin of MFH. Lectins showed weak affinity for other STT. In accordance with others, we therefore conclude that the progenitor cell of MFH has to be sought within the undifferentiated mesenchymal cells and that histiocytes themselves probably do not give rise to MFH.

Topics: alpha 1-Antichymotrypsin; alpha 1-Antitrypsin; Chymotrypsin; Histiocytoma, Benign Fibrous; Humans; Immunoenzyme Techniques; Lectins; Lymphatic Diseases; Muramidase; Plant Lectins; Receptors, Mitogen; Soft Tissue Neoplasms; Soybean Proteins

The tumor that occurred subcutaneously in the left hypochondriac region of an 87-year-old female is reported. Light microscopically, this tumor was composed of two kinds of cells, spindle cells and granular cells. The spindle cells showed various pictures such as fascicular arrangement, pleomorphic giant cells in the myxoid stroma and areas with abundant blood vessels. The granular cells contained PAS positive and diastase-resistant granules, and these granules, being electron microscopically phagocytic lysosomes, showed the same findings as the granules seen in the granular cell tumor. The immunohistochemical studies for S-100 protein, neuron specific enolase, CEA, myoglobin, and lysosome were negative, but alpha-antichymotrypsin was positive. From the microscopic and immunohistochemical findings, this tumor was diagnosed as a malignant fibrous histiocytoma with granular cell changes of tumor cells.

Topics: Abdominal Neoplasms; Aged; alpha 1-Antichymotrypsin; Carcinoembryonic Antigen; Chymotrypsin; Cytoplasmic Granules; Diagnosis, Differential; Female; Histiocytoma, Benign Fibrous; Humans; Myoglobin; Phosphopyruvate Hydratase; S100 Proteins

Topics: Aged; alpha 1-Antichymotrypsin; alpha 1-Antitrypsin; Chymotrypsin; Diagnosis, Differential; Histiocytoma, Benign Fibrous; Humans; Lung; Lung Neoplasms; Male; Neoplasm Metastasis; Protease Inhibitors

Since lysozyme and alpha 1-anti-chymotrypsin are constituents of normal histiocytes, their value as tumor cell markers in histiocytes neoplasias has been investigated using the indirect immunoperoxidase method and commercially available specific antisera on formaldehyde-fixed, paraffin-embedded 5 micrometers sections after pretreatment with pronase. The distribution of both markers was determined in 35 cases of malignant fibrous histiocytoma (MFH) and in 13 cases of malignant histiocytosis (MH). In 12 cases of MH both markers were found whereas in MFH alpha 1-antichymotrypsin was demonstrated in 26 and lysozyme in 16 cases only. In general, the staining for alpha 1-anti-chymotrypsin was more intense than the staining for lysozyme. A negative reaction does not exclude the possibility of MH or MFH. The presence of both constituents in tumours, however, can be considered as indicative of histiocytogenic origin and both can be useful markers for distinguishing histiocytic neoplasias from other tumours.

Topics: alpha 1-Antichymotrypsin; Chymotrypsin; Diagnosis, Differential; Histiocytoma, Benign Fibrous; Humans; Immunoenzyme Techniques; Lymphatic Diseases; Muramidase; Protease Inhibitors; Trypsin Inhibitors

Until recently, the diagnosis and classification of malignant fibrous histiocytomas (MFH) has been based on light- and electron-microscopic appearances. Tissue culture studies have led to the suggestion that these tumors have a common histiocytic origin. Using the immunoperoxidase PAP technique, a variety of soft-tissue tumors have been stained for the histiocyte markers alpha-1-antitrypsin (A1AT), alpha-1-antichymotrypsin (A1ACT) and lysozyme. A1AT and A1ACT are found to be useful specific markers for tumors of the MFH group whereas lysozyme is not a reliable marker for such tumors. The presence of these substances within the tumors supports the theory that they share a common origin from tissue histiocytes. Only a proportion of superficial skin histiocytomas stain for A1AT and A1ACT, raising the possibility that these are a heterogeneous group and do not share a common histogenesis with MFH.

Topics: alpha 1-Antichymotrypsin; alpha 1-Antitrypsin; Chymotrypsin; Histiocytoma, Benign Fibrous; Humans; Immunoenzyme Techniques; Muramidase; Soft Tissue Neoplasms

Topics: alpha 1-Antichymotrypsin; Chymotrypsin; Diagnosis, Differential; Histiocytes; Histiocytoma, Benign Fibrous; Histiocytosis, Langerhans-Cell; Humans; Immunoenzyme Techniques; Lymphatic Diseases; Muramidase

A starlike arrangement of cells and fibers, the "storiform pattern", was found to be a typical, but not obligatory, histological feature of benign and malignant fibrous histiocytomas. In 155 benign fibrous histiocytomas storiform structures were missing in 29 cases, chiefly of the fibroblastic type comparable with classical "dermatofibroma". 12 of 70 malignant fibrous histiocytomas did not reveal storiform structures, especially the cellular pleomorphic variant, i.e. the classical pleomorphic sarcoma. Storiform structures were either small and highly cellular with few fibers (collagen type III), or larger, less cellular, but with abundant fibers (collagen type I). There was no sharp demarcation between these two extremes, but many transitional structures or patterns were seen. The histiocytic nature of the cells was demonstrated in both variants of storiform structures by immunhistochemical methods on paraffin embedded material. Alpha 1-antichymotrypsin was especially valuable in this respect.

Topics: Chymotrypsin; Collagen; Fibroblasts; Histiocytes; Histiocytoma, Benign Fibrous; Humans

Topics: alpha 1-Antichymotrypsin; Chymotrypsin; Histiocytoma, Benign Fibrous; Humans; Immunoenzyme Techniques; Lymphatic Diseases; Muramidase; Trypsin Inhibitors

Topics: Adolescent; Adult; Aged; Child; Chymotrypsin; Female; Fibroblasts; Hemosiderin; Histiocytes; Histiocytoma, Benign Fibrous; Humans; Male; Middle Aged; Muramidase; Phagocytosis