Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2021, 165(2):203-208 | DOI: 10.5507/bp.2021.024
Target-like chondrocytes with thick perichondrocytic rings in cartilage-forming tumours. Preliminary report
- a Institute of Pathology, 1st Faculty of Medicine, Charles University and General Medical Hospital, and Institute of Postgraduate Studies, Prague, Czech Republic
- b Department of Otorhinolaryngology and Head and Neck Surgery, 1st Faculty of Medicine, Charles University and University Hospital Motol, Prague, Czech Republic
Background: Here we present our experience with the occurrence of neoplastic chondrocytes with target-like appearance surrounded with unusual hypertrophic thick eosinophilic perichondrocytic rings (baskets), sometimes containing two or several layers.
Methods and Results: Pericellular rings (baskets) were positive in APAS and Masson's staining method and showed immunoreactivity with antibody against type IV collagen. Such single cells or small groups of such cells were observed rarely in 3 osteochondromas, 2 skeletal chondromas, 2 extraskeletal chondromas and 2 skeletal and 1 laryngeal chondrosarcomas. Moreover, 1 unusual soft tissue chondrosarcoma was composed entirely of target-like chondrocytes with hypertrophic extremely thick perichondrocytic rings. Such cartilage-forming tumour with target-like cells, which, to the best of our knowledge, is the first such chondrosarcoma reported in the literature. Ultrastructural evidence is presented that perichondrocytic rings have complicated structure.They contained microfibrillar component with abundant admixture of irregular aggregates of dense amorphous non-fibrillar material localised in lacunar spaces. In outer part of the rings predominated microfibrillar structures corresponding to type VI collagen that produced a rather dense capsule-like demarcation line against surrounding intercellular spaces.
Conclusions: The described unusual changes are probably the result of hyperproduction and remodelation of perichondrocytic matrix by abnormal neoplastic chondrocytes in response to unknown factors. Local vascular and molecular signals, may be supposed as probable causes of this phenomenon.
Keywords: cartilage tumours, target-like chondrocyte, chondrocytes with thick APAS positive pericellular rings, immunohistochemistry, electron microscopy
Received: March 9, 2021; Revised: April 6, 2021; Accepted: April 14, 2021; Prepublished online: April 30, 2021; Published: June 10, 2021 Show citation
References
- Söder S, Hambach L, Kissner R, Kirchner T, Aigner T. Ultrastructural localization of type VI collagen in normal adult and osteoarthritic human articular cartilage. Osteoarthritis Cartilage 2002;10(5):464-70.
Go to original source...
Go to PubMed...
- Zelinski NA, Leddy HA, Sanchez-Adams J, Zhang J, Bonaldo W, Liedtke W, Guilak F. Collagen VI regulates pericellular matrix properties, chondrocytes swelling and mechanotransduction in articular cartilage. Arthritis Rheumatol 2015;67(5):1286-94.
Go to original source...
Go to PubMed...
- Wilusz RE, Sanchez-Adams J, Guilak F. The structure and function of the pericellular matrix of articular cartilage. Matrix Biol 2014;39(3):25-3219.
Go to original source...
Go to PubMed...
- Poole CA, Flin MH, Beaumont BW. Chondrons in cartilage. Ultrastructural analysis of the pericellular microenviroment in adult human articular cartilage. J Orthoped Res 1987;5(4):509-22.
Go to original source...
Go to PubMed...
- Poole CA. Review. Articular cartilage chondrons: form, fuction and failure. J Anat 1997;19(Pt1):11-13.
Go to original source...
Go to PubMed...
- Povýšil C, Mařík I, Maříková A, Horák M. Pathomorphology of the bone and joint diseases (In Czech) Prague: Galén; 2017.
- Povýšil C. Histopathology and ultrastructure of tumours and tumour-like lesions of bone: Acta Univ Carol Med Monogr 1986;116:1-204.
Go to PubMed...
- Povýšil C, Matějovský Z. A comparative ultrastructural study of chondrosarcoma, chordoid sarcoma, chordoma and chordoma periphericum. Path Res Pract 1985;179(4-5):546-93.
Go to original source...
Go to PubMed...
- Dorfman HD, Czerniak B. Bone tumors, 1st ed., St. Louis, Missouri: Mosby; 1998.
- Bovée AM, Flanagan AJ, Lazar GP, Nielsen A, Yoshida J. WHO classification of tumours. Soft tissue and bone tumours. 3rd chapter: Bone tumours., 5th ed., Lyon: IARC; 2020.
- Qasem SS, DeYoung BR. Cartilage-forming tumours. Semin Diagn Pathol 2014;31(1):10-20.
Go to original source...
Go to PubMed...
- Dahlin DC, Salvador AH. Cartilaginous tumours of the soft tissues of the hands and feet. Mayo Clin Proc 1974;49(10):721-6.
- Chung EB, Enzinger FM. Chondroma of soft part. Cancer 1978;41(4):1414-249.
Go to original source...
- Cardia R, Favazzi CM, Fenga D, Rosa MA, Leni A. A large extraskeletal chondroma: An unusual location in the lower extremity, huge extraskeletal chondroma: An unusual localization in the leg. J Orthop Case Rep 2019;9(1):74-7.
- Makni SW, Makni SK, Triki FE, Mellouli M, Abid R, Kallel R, Charfi S, Boudawara TS. Well-differentiated extraskeletal chondrosarcoma: about a new case. Pathologica 2018;110(2):103-5.
Go to PubMed...
- Saito M, Nishimoto K, Nakayama R, Kikuta K, Nakamura M, Matsumoto M, Morioka H. Extraskeletal chondroma of the index finger. A case report. Case Rep Oncol 2017;10(2):479-84.
Go to original source...
Go to PubMed...
- Cates JM, Rosenberg AE, O'Connell JX, Nielsen GP. Chondroblastoma-like chondroma of soft tissue: an underrecognized variant and its differential diagnosis, Am J Surg Pathol 2001;25(5):661-66.
Go to original source...
Go to PubMed...
- Chan JK, Lee KC, Saw D. Extraskeletal chondroma with lipoblast-like cells. Hum Pathol 1986;17(12):1285-7.
Go to original source...
Go to PubMed...
- Athanasou NA, Caughey M, Burge P, Woods CG. Deposition of calcium pyrophosphate dihydrate crystals in soft tissue chondromas. Ann Rheum Dis 1991;50(12):950-2.
Go to original source...
Go to PubMed...
- Daugaard S, Christensen LH, Hogdall H. Markers aiding the diagnosis of chondroid tumours: an immunohistochemical study including osteonectin, bcl-2, cox-2, actin, calponin D2-40 (podoplanin), mdm-2, CD117(c-kit), and YKL-40, APMIS 2009;117(7):518-25.
Go to original source...
Go to PubMed...
- Ordonez NG. Podoplanin: a novel diagnostic immunohistochemical marker. Adv Anat Pathol 2006;13(2):83-88.
Go to original source...
Go to PubMed...
- Lefebvre V, Smits P. Transcriptional control of chondrocytes fate and differentiation. Birth defects research Part C: Embryo today: Reviews 2005;75(3):200-12.
Go to original source...
Go to PubMed...
- Hallet SA, Ono W, Ono N. Growth plate chondrocytes: Skeletal development, growth and beyond. Int J Mol Sci 2019;20(23):6009-27.
Go to original source...
Go to PubMed...
- Ahmed YA, Tatarczuch L, Pagel CN, Davies HMS, Mirams M, Mackie ES. Physiological death of hypertrophic chondrocytes. Osteoarthritis Cartilage 2007;15(5):575-6.
Go to original source...
Go to PubMed...
- Bianco P, Cancedda FD, Riminucci M, Cancedda R. Bone formation via cartilage models.: The border line chondrocyte. Matrix Biology 1998;17(2):185-92.
Go to original source...
Go to PubMed...
- Houben A, Kosdtanova-Poliakova D, Weissenböck M, Grat J, Teufel S, Mark K, Hartman Ch. Beta-catenin activity in late hypertrophic chondrocytes locally orchestrates osteoblastogenesis and osteoclastogenesis. Development 2016;143(20):3826-38.
Go to original source...
Go to PubMed...
- Guilak F, Nims R, Dicks AM, Wu CL, Meulenbelt I. Osteoarthritis as a disease of the cartilage pericellular matrix. Matrix Biol 2018;71-72:40-50.
Go to original source...
Go to PubMed...
- Kao ZCh, Lee J, Huang HZ. Review article. What is new about the molecular genetics in matrix producing soft tissue tumours ? The contributions to pathogenetic understanding and diagnostic classification. Virchows Arch 2020;476(1):121-34.
Go to original source...
Go to PubMed...
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