Similarities between giant cell tumor of bone, giant cell tumor of tendon sheath, and pigmented villonodular synovitis concerning ultrastructural cytochemical features of multinucleated giant cells and mononuclear stromal cells.
The authors investigated ultrastructural cytochemical features of multinucleated and mononuclear stromal cells in giant cell tumor of bone (GCTB), giant cell tumor of tendon sheath (GCTTS), and pigmented villonodular synovitis (PVNS). Specimens of each tumor, respectively numbering 4, 4, and 3, were stained for tartrate-resistant acid phosphatase (TRAP) reactions and examined with an electron microscope. In GCTB and GCTTS, multinucleated cells, including some relatively small giant cells, showed TRAP activity and cytoplasmic features characteristic of osteoclasts, and also sometimes abundant rough endoplasmic reticulum and siderosomes. A few giant cells with macrophage-like features and slight TRAP activity were demonstrated in GCCTS and PVNS. In each tumor type, mononuclear cells showing TRAP activity shared cytoplasmic features with osteoclast-like multinucleated giant cells, while some others had macrophage-like features, and still others were poorly differentiated; a few mononuclear cells showed cell-to-cell contact. Ultrastructural similarities of TRAP-positive mononuclear cells in the three tumor types, and those between TRAP-positive multinucleated cells in GCTB and GCTTS, suggest a common cell lineage capable of multinucleated giant cell formation in the 3 tumors, despite differing histogenesis.
Anazawa
Ukei
U
Department of Orthopaedic Surgery, Keio University, School of Medicine, Tokyo, Japan. ukei@tc4.so-net.ne.jp
Hanaoka
Hideya
H
Shiraishi
Tateru
T
Morioka
Hideo
H
Morii
Takeshi
T
Toyama
Yoshiaki
Y
D000135:Acid Phosphatase / Q000378:metabolism; D001859:Bone Neoplasms / Q000378:metabolism / Q000473:pathology* / Q000601:surgery; D022083:Cytoplasmic Structures / Q000648:ultrastructure; D018212:Giant Cell Tumor of Bone / Q000378:metabolism / Q000473:pathology* / Q000601:surgery; D015726:Giant Cells / Q000378:metabolism / Q000648:ultrastructure*; D006801:Humans; D007527:Isoenzymes / Q000378:metabolism; D012983:Soft Tissue Neoplasms / Q000473:pathology* / Q000601:surgery; D017154:Stromal Cells / Q000378:metabolism / Q000648:ultrastructure; D013586:Synovitis, Pigmented Villonodular / Q000473:pathology* / Q000601:surgery; D000071681:Tartrate-Resistant Acid Phosphatase; D013710:Tendons
D007527:Isoenzymes; D000135:Acid Phosphatase; D000071681:Tartrate-Resistant Acid Phosphatase