22 research outputs found
Notch 1 Receptor, Delta 1 Ligand and HES 1 Transcription Factor are Expressed in the Lining Epithelium of Periapical Cysts (Preliminary Study)
Periapical cyst is a chronic inflammatory disorder of periradicular tissues. The precise pathological mechanisms involved in periapical cyst enlargement remain unclear. Notch signaling is an evolutionarily conserved pathway with a regulatory role in cell fate decisions during development and in carcinogenesis. To date, there are no published data available on the expression of Notch signaling components in periapical cysts or any other jaw cyst. In this immunohistochemical study we have examined the expression of the receptor Notch 1, the ligand Delta 1 and the transcription factor HES 1 in the epithelium of well defined periapical cysts. Immunostaining reaction of Notch 1, Delta 1 and HES 1 was observed in the cytoplasm and/or the cytoplasmic membrane and occasionally in the nucleus in the majority of epithelial cells of all periapical cysts. The present observations indicate that Notch pathway is active in the epithelium of periapical cysts. It can be speculated that activation of epithelial cells of periapical cysts is associated with activation of Notch pathway and imply involvement of this pathway in periapical cyst growth and expansion
Glandular Odontogenic Cyst: Report of Two Cases and Review of Literature
Glandular odontogenic cyst (GOC) is an uncommon jaw bone cyst of odontogenic origin described in 1987 by Gardner et al. It is a cyst having an unpredictable and potentially aggressive behaviour. It also has the propensity to grow to a large size and tendency to recur with only 111 cases having been reported thus far. The first case occurred in a 42-year-old female and presented as a localized swelling extending from 19 to 29 regions. There was a history of traumatic injury at the site. There was evidence of bicortical expansion and radiographs revealed a multilocular radiolucency. The second case occurred in a 21-year-old male, as a large swelling in the mandible and radiograph revealed radiolucency in the region. On histopathological examination, these lesions were diagnosed as GOC. It was concluded that, two cases submitted by us correlate with the existing literature that GOC’s affect more commonly in the middle age group, having predilection for mandible and that trauma could be a precipitating factor for its occurrence. The increased recurrence rates can be due to its intrinsic biological behavior, multilocularity of the cyst, and incomplete removal of the lining following conservative treatment
Loss of basement membrane components laminin and type IV collagen parallels the progression of oral epithelial neoplasia
Aims: To determine the immunohistochemical localization of basement
membrane components laminin and type IV collagen in premalignant and
malignant lesions of the oral epithelium.
Methods and results: Formalin-fixed tissue sections of 12 epithelial
hyperplasias with no dysplasia and 30 dysplasias, clinically diagnosed
as leukoplakia and/or ergthroplakia, as well as 50 invasive squamous
cell carcinomas, were stained with mouse monoclonal antibodies to human
laminin and type IV collagen, Statistical analysis showed that there was
a linear trend for discontinuous distribution of laminin from epithelial
hyperplasia to epithelial dysplasia and invasive squamous cell carcinoma
(P < 0.001), Laminin staining showed a linear trend for discontinuity
with increasing grade of dysplasia (P<0.05) and was more frequently
discontinuous in areas of deep tumour invasion than in central or
superficial areas (P<0.05), Brush-shaped thickening and reduplication of
the basement membrane were also identified,
Conclusions: Alterations in the distribution of laminin and type TV
collagen in oral premalignant and malignant lesions indicate that the
loss of continuity of the subepithelial basement membrane parallels the
progression of the neoplastic transformation process in oral epithelium
Immunohistochemical expression of cytokeratins 7 and 20 in malignant salivary gland tumors
On the basis of the heterogeneity of cytokeratins 7 and 20 expression in
malignant epithelial tumors, the cytokeratin 7/20 immunophenotype has
served as a useful diagnostic tool for discrimination of primary and/or
metastatic carcinomas of unknown origin. However, the expression pattern
of these cytokeratins in malignant salivary gland tumors has not been
thoroughly studied. Our study material was composed of 84 malignant
tumors of primary major or minor salivary gland origin. Nine histologic
types of carcinoma were represented, including mucoepidermoid (26
cases), adenoid cystic (25), polymorphous low grade (11), salivary duct
(8), acinic cell (4), ex mixed tumor (3), not otherwise specified (3),
clear cell (2), and basal cell (2). In all, 13 cases of primary skin or
mucosal squamous cell carcinoma with secondary salivary gland
involvement were also examined. Immunoreactivity for cytokeratin 7 was
evident in all malignant salivary gland tumors; the staining pattern was
diffuse and strong in 62 cases, and focal and strong in 22 cases. In
contrast, 78 cases were negative for cytokeratin 20, whereas only six
cases (two mucoepidermoid, one adenoid cystic, and three salivary duct)
displayed focal weak positivity. Overall, 92.9% of malignant salivary
gland tumors were characterized by a cytokeratin 7 positive / 20
negative immunoprofile, the remaining 7.1% of cases being positive for
both cytokeratins. The latter phenotype was more common in salivary duct
carcinomas (Pless than or equal to0.05). On the other hand, most
squamous cell carcinomas (69%) were negative for both cytokeratins,
while the remaining cases (31%) were negative for cytokeratin 20 and
focally weakly positive for cytokeratin 7. We suggest that assessment of
cytokeratin 7/20 immunoprofile may facilitate the differential diagnosis
of (a) primary malignant salivary gland tumors from metastatic tumors,
(b) metastatic salivary gland tumors, (c) primary salivary gland tumors,
especially mucoepidermoid carcinomas, from squamous cell carcinomas, and
(d) salivary duct carcinomas from other malignant salivary gland tumors