lactoferrin and Parotid-Neoplasms

Immunopathological analysis was made of phenotypic change in a recurrent parotid gland adenocarcinoma occurring in a patient with a long clinical course of 30 years or more. At the first and second operations, in 1959 and 1978, the resected parotid gland tumors were diagnosed histopathologically as acinic cell carcinoma. However, 11 years after the second operation, in 1989, the resected recurrent tumor showed a microscopically phenotypic change towards adenocarcinoma with typical tubular arrangement. At the last operation in 1991, histopathological examination of the tumor revealed adenocarcinoma with diffuse oncocytic change in association with cervical lymph node metastasis. These findings suggest that phenotypic change may occur in vivo among human neoplasms during a long period, which may be related to the cytodifferentiation in the salivary gland tumor.

Topics: Adenocarcinoma; Amylases; Carcinoembryonic Antigen; Carcinoma, Acinar Cell; Humans; Immunoenzyme Techniques; Immunohistochemistry; Lactoferrin; Microscopy, Immunoelectron; Muramidase; Parotid Neoplasms; Phenotype; Secretory Component

The immunohistochemical detection of lysozyme, lactoferrin, a1-antichymotrypsin and a1-antitrypsin was used to investigate the marker expression and histogenesis of each one of four histologic types of 20 parotid gland pleomorphic adenomas. Moreover, 10 adult and 20 neonate parotid glands were studied. The immunohistochemical analysis revealed that tumor types 1 and 2 are nearly identical immunohistochemically while types 3 and 4 differ from one another, as well as from types 1 and 2. The markers used failed to suggest that the tumor arises from epithelial cells of any specific anatomic part of the parotid gland.

Topics: Adenoma, Pleomorphic; Adult; alpha 1-Antichymotrypsin; alpha 1-Antitrypsin; Biomarkers, Tumor; Humans; Immunohistochemistry; Infant, Newborn; Lactoferrin; Muramidase; Parotid Gland; Parotid Neoplasms

In order to gain insight into the origin of Warthin's tumor, 10 cases of Warthin's tumor were compared immunohistologically with macroscopically and microscopically normal areas of the same glands, using 6 types of functional markers; carcinoembryonic antigen, secretory component, lactoferrin, keratin, S-100 protein and glial fibrillary acidic protein. It was shown that in normal parotid glands, the cells of acini, the intercalated ducts, the striated ducts, and the excretory ducts, as well as myoepithelial cells differed from each other in intensity and distribution of reaction products with antisera against those markers. Although the differences were rather subtle, the results suggested that those markers could differentiate the cell types of the salivary glands. In Warthin's tumors with double-layered tumor epithelia, the staining characteristics of the luminal and basal epithelia differed from each other. Epithelial cells on the luminal side showed immunological characteristics similar to striated duct cells of the parotid gland, while those of the basal side had characteristics similar to those of basal cells of the excretory duct. It is therefore suggested that the epithelia of Warthin's tumor may show differentiation into 2 different cell types.

Topics: Adenolymphoma; Aged; Aged, 80 and over; Biomarkers, Tumor; Carcinoembryonic Antigen; Epithelium; Female; Glial Fibrillary Acidic Protein; Humans; Immunohistochemistry; Keratins; Lactoferrin; Male; Middle Aged; Parotid Gland; Parotid Neoplasms; S100 Proteins; Secretory Component

A case of a solid parotid tumour in a 16-year-old boy is presented. Histologically, the tumour demonstrated some peculiar findings. An acinar pattern was predominant although every component seen in the normal salivary gland was present, namely, serous and mucous gland acini, ducts, myoepithelial cells, adipose and lymphoid tissue. Large eosinophilic granules were abundant in the large acinar cell cytoplasm. Immunohistochemically, the tumour demonstrated the proteins which are present in the normal parotid gland, for example, amylase, lactoferrin and lysozyme. Electron microscopic features were quite similar to those of normal parotid tissue except for accumulation of a large number of cytoplasmic granules in the acinar cells. There has been no previous report of a tumour with the same features as seen in this case. Our pathological diagnosis is hamartoma, although the possibility of hyperplasia or neoplasia can not be excluded.

Topics: Adolescent; Amylases; Cytoplasmic Granules; Hamartoma; Histocytochemistry; Humans; Immunoenzyme Techniques; Lactoferrin; Male; Microscopy, Electron; Muramidase; Parotid Neoplasms

Presence of lysozyme, lactoferrin, alpha 1-antitrypsin, alpha 1-antichymotrypsin and ferritin was examined by the immunoperoxidase method in 15 consecutive parotid gland tumors as well as in normal parotid gland tissue. Lysozyme and lactoferrin were detected in intercalated duct cells of normal tissue and in the epithelial component of pleomorphic adenomas. alpha 1-antitrypsin, alpha 1-antichymotrypsin and ferritin were found in both epithelial and mesenchymal components of pleomorphic adenomas but not in normal parotid tissue. In the epithelial component of adenolymphoma only alpha 1-antichymotrypsin and lactoferrin were observed. The results would support a tentative histogenetic link between the intercalated duct cell and the epithelial component of the pleomorphic adenoma.

Topics: Adenocarcinoma; Adenolymphoma; Adenoma, Pleomorphic; alpha 1-Antichymotrypsin; alpha 1-Antitrypsin; Chymotrypsin; Ferritins; Histocytochemistry; Humans; Immunoenzyme Techniques; Lactoferrin; Lactoglobulins; Muramidase; Parotid Neoplasms

In a collection of parotid gland tumors the presence of different antigens was studied by immuno-histochemical methods. The series was composed of different tumors: adeno- and cystadenocarcinomas, adenoid-cystic carcinomas, salivary duct carcinomas, mucoepidermoid tumors, squamous cell carcinomas and anaplastic carcinomas. The following substances were studied: 1. Substances normally present in salivary glands like lysozyme and lactoferrin. 2. Oncofetal antigens: carcinoembryonic antigen (CEA) and alpha-fetoprotein (AFP). 3. Different classes of intermediate-sized filaments: prekeratin and vimentin. The presence of lactoferrin and carcinoembryonic antigen could be demonstrated in the glandular differentiated tumors, whereas the squamous cell carcinomas, although CEA positive, were lactoferrin negative. The anaplastic carcinomas were negative for lactoferrin and CEA. Lysozyme and AFP could not be demonstrated in the tumors of our material. Mucoepidermoid tumors and squamous cell carcinomas were clearly positive for prekeratin filaments whereas the stromal part showed a vimentin filaments in the cytoplasm of fibroblasts. These antigens provide a useful tool to distinguish between the epithelial and mesenchymal tumors.

Topics: alpha-Fetoproteins; Antigens, Neoplasm; Carcinoembryonic Antigen; Carcinoma; Immunoenzyme Techniques; Lactoferrin; Muramidase; Parotid Neoplasms

Lactoferrin and lysozyme, parts of the non-specific defense system, were studied in normal and diseased parotid glands, using the immunohistochemical PAP-method. 31 normal and inflamed glands were investigated. The presence of lactoferrin and lysozyme was demonstrated in the acinar cells and some duct cells. The amount of these substances was increased in obstructive parotitis. The 52 carcinomas showed a distinct distribution pattern for lactoferrin (positive cases: adenocarcinomas 5 of 8; cystadenocarcinoma: 3 of 5; adenoid cystic carcinomas 2 of 4; salivary duct carcinomas 2 of 3). Some of the carcinomas in pleomorphic adenomas were positive for lactoferrin. Squamous cell carcinomas and anaplastic carcinomas were constantly negative. All carcinomas were negative for lysozyme. These observations are discussed with respect to their physiological and pathological significance.

Topics: Adenocarcinoma; Adenoma, Pleomorphic; Carcinoma; Carcinoma, Squamous Cell; Cystadenocarcinoma; Humans; Lactoferrin; Lactoglobulins; Muramidase; Parotid Neoplasms; Parotitis