Peritoneal foreign body granulomas to keratin in uterine adenocanthoma.

Four cases of well-differentiated adenocarcinoma with squamous metaplasia (so-called adenocanthoma) of the uterus were associated with granulomatous inflammation of the pelvic peritoneum. The inflammation was the result of a foreign-body response to keratin that desquamated from the surface of the tumor and was carried to the peritoneal cavity through the lumen of the Fallopian tubes. The absence of viable neoplastic cells and favorable follow-up examinations in these patients indicate that the presence of peritoneal keratin granulomas in association with endometrial adenoacanthoma should not be regarded as an indicator of metastatic spread.

Location of iron and porphyrin in the liver in porphyria cutanea tarda.

Porphyrin and iron distributions in the liver biopsies of patients with Porphyria cutanea tarda (PCT) were investigated by comparison of composite photographs from fluorescence microscope and after iron stain. Three distinct areas are visible: 1. red fluorescent areas with porphyrins; 2.

Detection of hepatitis B surface antigen by means of orcein staining of liver.

Paraffin-embedded sections of liver biopsies from 65 patients and 16 autopsies were stained by a modified orcein method as described by Shikata, to appraise the efficacy of the method in detecting hepatitis B antigen, (HGsAg). Of the liver biopsies from patients with chronic hepatitis, 55% were positively stained. Staining was observed in the cytoplasm of liver cells but was frequently irregular in distribution.