[Cell proliferation and maturation of ectopic submucosal glands of the stomach].
Stomachs with multiple submucosal glands keep our attention because of their high risk for having gastric carcinomas, but little is known about the relationship between submucosal glands and occurring cancers. So we investigated the structure of submucosal glands including location of proliferating cells. We labeled proliferating cells of three stomachs with cancerous lesions by circulating artificial blood through the isolated organs with bromodeoxyuridine (BrdU). Serial sections of submucosal glands were stained with hematoxylin eosin, periodic acid Schiff, Alcian blue, high iron diamine-Alcian blue, concanavalin A paradox, galactose oxidase Schiff as well as anti-BrdU immunohistochemically. Results showed that most of submucosal glands were composed of functionally matured cells and these cells made regular structure just like those of mucosal layer. Labeling index of BrdU of these submucosal glands were low (0.2%-0.7%). Two atypical glands were seen, and labeling index were 2.6% and 22.2% respectively. In conclusion, submucosal glands of the stomachs were thought to be made by moving proliferating cells from mucosal layer to submucosal layer. So we saw these submucosal glands paracancerous lesions rather than precancerous ones. But we couldn't deny the possibility to occur cancerous lesions from atypical glands in submucosal glands.
Tokita
K
K
Third Department of Internal Medicine, Kyoto prefectural University of Medicine.
Tsuchihashi
Y
Y
Hosokawa
Y
Y
Wakabayashi
N
N
Isetani
K
K
Mitsufuji
S
S
Maruyama
K
K
Kodama
T
T
Kashima
K
K
D000368:Aged; D002454:Cell Differentiation; D002455:Cell Division; D005753:Gastric Mucosa / Q000166:cytology*; D006801:Humans; D008297:Male; D012306:Risk; D013274:Stomach Neoplasms / Q000473:pathology; D014407:Tumor Cells, Cultured