Mast cell reaction in malignant laryngeal neoplasm.

Rom J Morphol Embryol

ENT Department, Victor Babes University of Medicine and Pharmacy, Timişoara, Romania.

Published: June 2008

AI Article Synopsis

  • Mast cells are common in connective tissue, especially in the respiratory tract, and their increased numbers (hyperplasia) have been observed in various cancers, but their role in laryngeal tumors is not well understood.
  • The study analyzed 127 laryngeal carcinoma samples using staining methods to identify mast cells, revealing that the majority of cases were squamous cell carcinomas with varying grades.
  • Results showed that mast cell density varies with cancer type and stage, being more prevalent in early stages and specific conditions like malignant laryngeal papillomatosis, while certain mast cells are linked to tumor regions and others to more distant connective tissues.

Article Abstract

Introduction: Mast cells are normal connective tissue residents. Their densities vary from an organ to other, but are constantly well represented in respiratory tract. Mast cell hyperplasia was found in many malignant tumors, but the significance of this phenomenon is still unknown. In the literature, there are few data about mast cell reaction in malignant laryngeal neoplasm.

Material And Methods: We studied archive blocks from 127 laryngeal carcinomas. For histological diagnosis two sections were prepared for Hematoxylin-Eosin staining and Alcian blue-Safranin histochemistry at pH 0.2 for identifying mast cells. Examination has been performed with Nikon Eclipse 600 microscope. Microscopic images were analyzed with Lucia G program. Microvessel density was calculated using the hot spot method.

Results: Most of the cases were squamous cell carcinoma G1 - 24.4%, G2 - 56.69%, G3 - 18.11%, and 0.78% adenoid cystic carcinoma. Invasive squamous cell carcinoma mast cell microdensity was 2.19 and 4.66 in microinvasive squamous cell carcinoma. Mast cell microdensity in malignant laryngeal papillomatosis was 9.33 and 46.66 in adenoid cystic carcinoma. In carcinoma-associated mast cell hyperplasia, the large majority of mast cells were Alcian blue positive.

Conclusions: In early stages, the mast cells are numerous (microinvasive squamous cell carcinoma mast cell microdensity 4.66) and rare or even absent in late stages (invasive squamous cell carcinoma mast cell microdensity 2.19). Mast cell microdensity in malignant laryngeal papillomatosis was 9.33 and 46.66 in cystic carcinoma. Alcianophil mast cells are present in tumor area, and safraninophil mast cells are residents of connective and muscular tissue, at a distance from the tumor.

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