Abstract
The occurrence of a palisaded myofibroblastoma with amianthoid fibres in the left inguinal lymph node of a 51 year old man prompted an investigation of the factors underlying its exclusive location. The antigen profile was characterised which confirmed the homogeneous expression of vimentin and smooth muscle actin as well as the lack of desmin. Use of monoclonal antibodies to check for a differential distribution of myofibroblasts and the putative cell of origin of palisaded myofibroblastoma showed that inguinal lymph nodes have abundant vimentin and actin positive cells and desmin negative cells. This suggests that the selective occurrence of myofibroblastoma is related to the nodal microenvironment, providing a source of available and potentially proliferating myofibroblasts. Mast cells abounded in this lesion, particularly around amianthoid fibres, as well as in pelvic and inguinal lymph nodes. In view of the known role of mast cells in interstitial matrix degradation it is postulated that the core of amianthoid fibres represents degraded interstitial matrix, analogous to the sclerotic areas commonly found in the above mentioned lymph node groups, while the peripheral spokes, so peculiar to this entity, are the result of vimentin and smooth muscle actin, directly shed by proliferating myofibroblasts.
Full text
PDF



Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Amazon K., Rywlin A. M. Subtle clues to diagnosis by conventional microscopy. Lymph node involvement in Kaposi's sarcoma. Am J Dermatopathol. 1979 Summer;1(2):173–176. doi: 10.1097/00000372-197900120-00012. [DOI] [PubMed] [Google Scholar]
- Finkbeiner W. E., Egbert B. M., Groundwater J. R., Sagebiel R. W. Kaposi's sarcoma in young homosexual men: a histopathologic study with particular reference to lymph node involvement. Arch Pathol Lab Med. 1982 Jun;106(6):261–264. [PubMed] [Google Scholar]
- Gabbiani G., Majno G. Dupuytren's contracture: fibroblast contraction? An ultrastructural study. Am J Pathol. 1972 Jan;66(1):131–146. [PMC free article] [PubMed] [Google Scholar]
- Gabbiani G., Ryan G. B., Majne G. Presence of modified fibroblasts in granulation tissue and their possible role in wound contraction. Experientia. 1971 May 15;27(5):549–550. doi: 10.1007/BF02147594. [DOI] [PubMed] [Google Scholar]
- Hsu S. M., Raine L., Fanger H. Use of avidin-biotin-peroxidase complex (ABC) in immunoperoxidase techniques: a comparison between ABC and unlabeled antibody (PAP) procedures. J Histochem Cytochem. 1981 Apr;29(4):577–580. doi: 10.1177/29.4.6166661. [DOI] [PubMed] [Google Scholar]
- Leifer C., Miller A. S., Putong P. B., Min B. H. Spindle-cell carcinoma of the oral mucosa. A light and electron microscopic study of apparent sarcomatous metastasis to cervical lymph nodes. Cancer. 1974 Sep;34(3):597–605. doi: 10.1002/1097-0142(197409)34:3<597::aid-cncr2820340317>3.0.co;2-j. [DOI] [PubMed] [Google Scholar]
- Levi-Schaffer F., Kupietzky A. Mast cells enhance migration and proliferation of fibroblasts into an in vitro wound. Exp Cell Res. 1990 May;188(1):42–49. doi: 10.1016/0014-4827(90)90275-f. [DOI] [PubMed] [Google Scholar]
- Oda D., Gown A. M., Vande Berg J. S., Stern R. The fibroblast-like nature of myofibroblasts. Exp Mol Pathol. 1988 Dec;49(3):316–329. doi: 10.1016/0014-4800(88)90004-4. [DOI] [PubMed] [Google Scholar]
- Oda D., Gown A. M., Vande Berg J. S., Stern R. The fibroblast-like nature of myofibroblasts. Exp Mol Pathol. 1988 Dec;49(3):316–329. doi: 10.1016/0014-4800(88)90004-4. [DOI] [PubMed] [Google Scholar]
- Roche W. R. Mast cells and tumors. The specific enhancement of tumor proliferation in vitro. Am J Pathol. 1985 Apr;119(1):57–64. [PMC free article] [PubMed] [Google Scholar]
- Schürch W., Seemayer T. A., Lagacé R., Gabbiani G. The intermediate filament cytoskeleton of myofibroblasts: an immunofluorescence and ultrastructural study. Virchows Arch A Pathol Anat Histopathol. 1984;403(4):323–336. doi: 10.1007/BF00737283. [DOI] [PubMed] [Google Scholar]
- Skalli O., Schürch W., Seemayer T., Lagacé R., Montandon D., Pittet B., Gabbiani G. Myofibroblasts from diverse pathologic settings are heterogeneous in their content of actin isoforms and intermediate filament proteins. Lab Invest. 1989 Feb;60(2):275–285. [PubMed] [Google Scholar]
- Suster S., Rosai J. Intranodal hemorrhagic spindle-cell tumor with "amianthoid" fibers. Report of six cases of a distinctive mesenchymal neoplasm of the inguinal region that simulates Kaposi's sarcoma. Am J Surg Pathol. 1989 May;13(5):347–357. [PubMed] [Google Scholar]
- Weiss S. W., Gnepp D. R., Bratthauer G. L. Palisaded myofibroblastoma. A benign mesenchymal tumor of lymph node. Am J Surg Pathol. 1989 May;13(5):341–346. [PubMed] [Google Scholar]







