The aim of our study was to determine using immunohistochemical method profi and relationship between lymphocytes in lymphoid rich stroma of the Warhins tumors, as well as, the relationship between lymphocytes and tumors epithelial cells. Our retrospective-prospective study we conducted in the Department of Clinical Pathology KBC Zemun on 25 samples of tissue from the parotid gland with WT tumor surgically removed at the Department of ENT KBC Zemun in the period from 2000 to 2016 year. Sections of tumor tissue, fixed in 10% formalin were stained with hematoxylin-eosin standard method, and then immunohistochemical method to: antibody B lymphocytes (CD20) antibody for T lymphocytes (CD3), keratin antibody that marks the basal and columnar epithelial cells (CK7 ) and keratin antibody that marks only the basal epithelial cells (CK5 / 6). We have found that in relation to the gender distribution of all 25 patients, there were more male patients: 16 (64%) men and 9 (36%) women. Immunohistochemical analysis with keratin antibody CK7 showed that luminal columnar cells intensely positive (+++) more than 75% in 23 cases (92%), whereas in 2 cases were intensely positive (+++) in percentages ranging from 25 to 75%. In contrast to the luminal, basal cells were always showed little immunoreactivity (+) antibody to CK7 and in 20 cases in the group of <25% of the cells respectively in the cases of 5% in the group 25-75. Evaluation of the presence, intensity, type and distribution of cells with each other and in relation to the tumor epithelial component would contribute to establishing unclear histogenesis lymphoid stroma at the tumor.
Elluru R. Physiology of the salivary glands. 2015;(6):83.
2.
Martinez-Madrigal F, Bosq J, Casiraghi O. Major salivary glands. 2007;445–73.
3.
Barnes L, Eveson J, Reichart P, Sidransky D. Pathology and Genetics of Head and Neck Tumours. World Health Organization Classification of Tumours. 2005;
4.
Budakov P, Eri Ž, Patologija. 2011;164–72.
5.
Damjanov I, Jukić S, Patologija N. prvo srpsko izdanje Medicinska naklada. 2009;395–6.
6.
Ellis G, Auclair P. Tumors of the Salivary Glands. 2007;
7.
Lin C, Tsai M, Huang C, Hua C, Tseng H, Huang S. Parotid tumors: a 10-year experience. Am J Otolaryngol. 2008;(2):94–100.
8.
Sirohi D, Sharma R, Sinha R, Menon P. Salivary gland neoplasms: an analysis of 74 cases. J Maxillofac Oral Surg. 2009;(2):164–6.
9.
Chedid H, Rapoport A, Aikawa K, Menezes A, Curioni O. Warthin’s tumor of the parotid gland: study of 70 cases. Rev Col Bras Cir. 2011;(2):90–094.
10.
Teymoortash A, Krasnewicz Y, Werner J. Clinical features of cystadenolymphoma (Warthin’s tumor) of the parotid gland: a retrospective comparative study of 96 cases. Oral Oncol. 2006;569–73.
11.
Kawata R, Yoshimura K, Lee K, Araki M, Takenaka H, Tsuji M. Basal cell adenoma of the parotid gland: a clinicopathological study of nine cases -basal cell adenoma versus pleomorphic adenoma and Warthin’s tumor. Eur Arch Otorhinolaryngol. 2010;(5):779–83.
12.
Gorai S, Numata T, Kawada S, Nakano M, Tamaru J, Kobayashi T. Malignant Lymphoma Arising from Heterotopic Warthin’s tumor in the Neck: Case Report and Review of the Literature. Tohoku J Exp Med. 2007;199–205.
13.
Dăguci L, Stepan A, Mercuţ V, Dăguci C, Bătăiosu M, Florescu A. Immunohistochemical expression of CK7, CK5/6, CK19, and p63 in Warthin tumor. Rom J Morphol Embryol. 2012;(3):603–7.
14.
Abd-Elhamid ES, Elshafei MM. Immunohistochemical localization of mdm-2, p27Kip1 and bcl-2 in Warthin’s tumor of the parotid gland. Diagnostic Pathology. 2009;4(1):14.
15.
Song K, Cotelingam D, Lowery-Nordberg M, Sun. Characterization of the lymphoid stroma in Warthin’s tumor of salivary gland by immunohistochemistry, heavy chain gene and Bcl-2 gene rearrangement. Am J Transl Res. 2009;(4):352–7.
16.
Dagicu L, Simionescu C, Stepan A, Monteanu C, Dagicu C, Bataiosu M. Warthin tumor-morphological study of stromal compartment Rom. J Morphol Embryol. 2011;(4):1319–23.
17.
Aguirre J, Echebarria M, Martinez-Conde R, Rodriguez C, Burgos J, Rivera J. Warthin tumor. A new hypothesis concerning its development. Oral Radiol Endo. 1998;(1):60–3.
18.
Su C, Li C, Lin C. Unreported cytologic characteristics of oncocytes in Warthin’s tumors. Tzu Chi Med J. 2010;(3):137–40.
19.
Eveson J, Cawson R. Infarcted ('infected’) adenolymphomas.A clinicopathological study of 20 cases. Clin Otolaryngol Allied Sci. 1989;205–10.
20.
Palma D, Simpson S, Skalova R, A, Metaplastic M. Warthin’s tumour of the parotid gland: a possible consequence of fine needle aspiration biopsy. Histopathology. 1999;432–8.
21.
Eneroth C, Frazen S, Zajicek J. Cytologic diagnosis of aspirate from 1000 salivary-gland tumours. Acta Otolaryngol. 1996;168–71.
22.
Layfield L, Glasgow B. Diagnosis of salivary gland tumors by fine-needle aspiration cytology: a review of clinical utility and pitfalls. Diagn Cytopathol. 1991;267–72.
23.
Ryska A, Seifert G. Adenolymphoma (Warthin’s tumor) with multiple sarcoid-like granulomas. Pathol Res Pract. 1999;835–9.
Citation
Copyright
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.