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Immunohistochemical Characterization of Hyaline Globules in Kaposi’s Sarcoma

Identifieur interne : 008354 ( Main/Exploration ); précédent : 008353; suivant : 008355

Immunohistochemical Characterization of Hyaline Globules in Kaposi’s Sarcoma

Auteurs : N. Gupta [États-Unis] ; K. Inamdar [États-Unis] ; M. Chaffins [États-Unis] ; C. Ma [États-Unis] ; A. Ormsby [États-Unis] ; M. Lee [États-Unis]

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RBID : ISTEX:3C3332B2240D49C4D2E0C1EEE542DDB1B0205091

Abstract

Hyaline globules (HG) are frequently found in neoplastic cells of Kaposi’s sarcoma (KS). Presence of HG, characteristic of but not specific of KS, has been considered to represent erythrophagocytosis. In order to further characterize the nature of HG, we studied 10 cases of cutaneous KS with distinct HG using immunohistochemistry for hemoglobin A, Kappa and Lambda. All KS cases were of nodular type. Also included were 3 cases of glomeruloid hemangioma with similar HG in endothelial cells for the comparision. In selected cases electron microscopic examination was performed. PAS stain with diastase digestion was also done in all cases. Results: HG were diastase resistant and PAS positive. All HG in neoplastic cells of KS and endothelial cells of GH were negative for hemoglobin A. There was variable staining for light chains: focal but strong positivity for kappa, weak and variable staining for Lambda. Some HG was positive for both kappa and lambda. Electron microscopic study demonstrated HG as homogeneous electron dense inclusions with internal small vacuoles, whorled or granular materials. Conclusions: All HG in neoplastic cells and endothelial cells of GH represent phagolysosomes. Negative stain for hemoglobin A in KS and GH do not support the inclusions being fragmented RBC’s.

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DOI: 10.1111/j.0303-6987.2005.320cj.x


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<div type="abstract" xml:lang="en">Hyaline globules (HG) are frequently found in neoplastic cells of Kaposi’s sarcoma (KS). Presence of HG, characteristic of but not specific of KS, has been considered to represent erythrophagocytosis. In order to further characterize the nature of HG, we studied 10 cases of cutaneous KS with distinct HG using immunohistochemistry for hemoglobin A, Kappa and Lambda. All KS cases were of nodular type. Also included were 3 cases of glomeruloid hemangioma with similar HG in endothelial cells for the comparision. In selected cases electron microscopic examination was performed. PAS stain with diastase digestion was also done in all cases. Results: HG were diastase resistant and PAS positive. All HG in neoplastic cells of KS and endothelial cells of GH were negative for hemoglobin A. There was variable staining for light chains: focal but strong positivity for kappa, weak and variable staining for Lambda. Some HG was positive for both kappa and lambda. Electron microscopic study demonstrated HG as homogeneous electron dense inclusions with internal small vacuoles, whorled or granular materials. Conclusions: All HG in neoplastic cells and endothelial cells of GH represent phagolysosomes. Negative stain for hemoglobin A in KS and GH do not support the inclusions being fragmented RBC’s.</div>
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