Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-28T06:09:48.872Z Has data issue: false hasContentIssue false

The role of electron microscopy in the diagnosis of tumours of the Head and neck

Published online by Cambridge University Press:  29 June 2007

C. Fisher
Affiliation:
Consultant, Histopathologist, Royal Marsden Hospital, London
L. M. Flood*
Affiliation:
Consultant, Otolaryngologist, Middlesbrough.
A. D. Ramsey
Affiliation:
Consultant, Histopathologist, Southampton University.
*
L. M. Flood, North Riding Infirmary, Newport Road, Middlesbrough, Cleveland TS1 5JE.

Abstract

A four-year study was undertaken to determine the value of electron microscopy in the diagnosis of head and neck tumours. During this period 80 samples were submitted for examination, of which 69 contained assessable tumour. Electron microscopy made a major contribution to the diagnosis in 25 cases (36 per cent). Areas in which ultrastructural examination was of diagnostic significance included the precise categorization of apparently undifferentiated carcinoma and the identification of melanomas. Little diagnostic benefit was gained from electron microscopic examination of thyroid, lymphoid or salivary gland neoplasms. The value of electron microscopy in relation to immunohistochemistry is discussed.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abenoza, P., Sibley, R. K. (1986) Chordoma: an immunohistologic study. Human Pathology, 17: 744747.CrossRefGoogle ScholarPubMed
Bosq, J., Gatter, K. C, Micheau, C., Mason, D. Y. (1985) Role of immunohistochemistry in diagnosis of nasopharyngeal tumours. Journal of Clinical Pathology, 38: 845848.CrossRefGoogle ScholarPubMed
Carr, I., Toner, P. G. (1978) Rapid electron microscopy in oncology. Journal of Clinical Pathology, 30: 1318.CrossRefGoogle Scholar
Chambers, R. W., Bowling, M. C., Grimley, P. M. (1968) Glutaraldehyde fixation in routine histopathology. Archives of Pathology, 5: 1829.Google Scholar
Diebold, J., Reynes, M., Tricottet, V. (1984) Electron microscopy in the diagnosis of malignant adenopathies. Paper given at the International Academy of Pathology Electron Microscopy Symposium: differential diagnosis of tumours. Brussels.Google Scholar
Erlandson, R. A., Tander, B., Liberman, P. H., Higinbotham, N. L. (1968) Ultrastructure of human chordoma. Cancer Research, 28: 21152125.Google ScholarPubMed
Erlandson, R. A., Tander, B. (1972) Ultrastructure of the acinic cell carcinoma of the parotid gland. Archives of Pathology, 93: 130140.Google ScholarPubMed
Favara, B. E., McCarthy, R. C., Mierau, G. W. (1983) Issues in pathology: Histiocytosis X. Human Pathology, 14: 663676.CrossRefGoogle ScholarPubMed
Fisher, C. (1990) The value of electron microscopy and immunohistochemistry in the diagnosis of soft tissue sarcomas. A study of 200 cases. Histopathology, 16: 441454.CrossRefGoogle ScholarPubMed
Fisher, C., Ramsay, A. D., Griffiths, M., McDougal, J. (1985) An assessment of the value of electron microscopy in tumour diagnosis. Journal of Clinical Pathology, 38: 403408.CrossRefGoogle ScholarPubMed
Friedmann, I. (1961) Electron microscopy of human biopsy material. Proceedings of the Royal Society of Medicine, 151: 10641071.CrossRefGoogle Scholar
Friedmann, I. (1963) Electron microscopy of rare diseases of the nose. Transactions of the American Academy of Ophthalmology and Otolaryngology, (May-June): 261–280.Google Scholar
Friedmann, I. (1971) Electron microscopy in head and neck oncology. Acta Otolaryngologica, 71: 115122.CrossRefGoogle ScholarPubMed
Gatter, K. C., Abdulaziz, Z., Beverley, P. (1982) Use of monoclonal antibodies for the histopathological diagnosis of human malignancy. Journal of Clinical Pathology, 35: 12531267.CrossRefGoogle ScholarPubMed
Gatter, K. C., Alcock, C., Heryet, A., Mason, D. Y. (1985) Clinical importance of analyzing malignant tumours of uncertain origin with immunohistological techniques. Lancet, i: 13021305.CrossRefGoogle Scholar
Ghadially, F. N. (1980) Diagnostic electron microscopy of tumours. London: Butterworth and Co.Google Scholar
Glossop, L. P., Griffiths, M., Grant, H. R. (1984) Combined adenocarcinoma and squamous carcinoma of the hypopharynx. Journal of Laryngology and Otology, 98: 11611166.CrossRefGoogle ScholarPubMed
Horvat, B. L., Caines, M., Fisher, E. R. (1970) The ultrastructure of Rhabdomyosarcoma. American Journal of Clinical Pathology, 53: 555564.CrossRefGoogle ScholarPubMed
Kahn, H. J., Marks, A., Thorn, R. T., Baumal, R. (1983) Role of antibody to SI00 protein in diagnostic pathology. American Journal of Clinical Pathology, 79: 341347.CrossRefGoogle Scholar
Llombart-Bosch, A., Blanche, R., Peydro-Olaya, A. (1978) Ultrastructural study of 28 cases of Ewing's sarcoma: typical and atypical forms. Cancer, 41: 13621373.3.0.CO;2-F>CrossRefGoogle ScholarPubMed
Mierau, G. W., Favara, B. E. (1984) Histiocytosis X: EM or S100?Poster presented at the International Academy of Pathology Electron Microscopy Symposium: differential diagnosis of tumours. Brussels.Google Scholar
Pizzolo, G., Sloane, J., Beverley, P. (1981) Differential diagnosis of malignant lymphoma and non-lymphoid tumours using monoclonal antileucocyte antibody. Cancer, 46: 26402647.3.0.CO;2-S>CrossRefGoogle Scholar
Truong, L. D., Rangdaeng, S., Cagle, P., Ro, J. Y., Hawkins, H., Font, R. L. (1990) The utility of desmin. A study of 584 cases and review of the literature. American Journal of Clinical Pathology, 93: 305314.CrossRefGoogle ScholarPubMed
Warnke, R. A., Gatter, K. C., Falini, B. (1984) The diagnosis of human lymphoma using monoclonal antileucocyte antibodies. New England Journal of Medicine, 309: 12751281.CrossRefGoogle Scholar