Antrochoanal polyp: A transmission electron and light microscopic study

PubMedID: 15004706Antrochoanal polyp (ACP) is a soft tissue mass originating from the maxillary antrum, emerging from the ostium and extending to the choana through the nasal cavity. Our aim was to investigate the light microscopic and ultrastructural features of ACP and to compare these with nasal polyps originating from the middle meatus (MMP). Seven ACP and seven MMP specimens were evaluated by transmission electron microscopy (TEM) and light microscopy. TEM examination showed epithelial cells with intact cilia covering both polyps. In some MMP cases, degeneration of the epithelium associated with some cilia loss was noted. Goblet cell hyperplasia was more prominent in MMP cases. Degeneration and partial destruction of the endothelial cells of the blood vessels were common findings in ACP cases; however, in the MMP group, endothelial cells were mostly intact with a few aggregates of ribosomes, and intact cell junctions were noted. Light microscopic examination revealed that inflammatory cells in the ACP group were numerous. However, eosinophils were predominant in MMP cases. Squamous metaplasia of the surface epithelium was detected in five ACP cases, but in none of the MMP cases. Basement membrane thickening was detected in two cases of the ACP and in four cases of the MMP group. There was a statistically significant difference between the two groups for inflammatory cells, eosinophilic cell infiltration, squamous cell metaplasia, endothelial cell destruction and goblet cell metaplasia. In conclusion, the low number of eosinophils, the high number of other inflammatory cells, the normal appearing basement membrane and intact and normal surface epithelium may reveal that the etiology of ACP might arise from chronic inflammatory processes rather than allergy. The destruction of the endothelium may be considered as a further sign of chronic inflammation. © Springer-Verlag 2004

Effects of Specific Dosages of Magnesium and Zinc on the Teratogenicity of Cadmium, Nickel, and Cobalt in Xenopus Embryos, as Assessed by the Fetax Test

The objective of this study was to determine if exposure to divalent cations, Cd2+, Ni2+, and Co2+ would lead to malformations in Xenopus laevis embryos, and whether addition of Mg2+ and Zn2+; separately and in combination, would reduce their toxicity and teratogenicity on the embryos of Xenopus laevis as assessed by 96-h FETAX tests. Results indicate that exposure to Cd2+, Ni2+ or Co2+ lead to an increase in toxicity and teratogenicity in embryos, whereas Mg2+, Zn2+, or a combination of them reduced the toxic and terato-genic effects of these divalent cations. Modulation of Cd2+, Ni2+ or Co2+ toxicity and teratogenicity by Mg2+ and Zn2+, varied with the metal. Zn2+ was observed to be a better suppressor of Co2+ toxicity and teratogenicity than Mg2+. In contrast, Ni2+, and Cd2+ teratogenicity was reduced more prominently by Mg2+. On the other hand, combination of Mg2+ and Zn2+ showed potentialization effect on all divalent cation toxicity and teratogenicity. We concluded that Mg2+ and Zn2+ reduced the toxicity and teratogenicity of Cd2+, Ni2+, Co2+