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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Oral+Maxillofac+Pathol
2016 ; 20
(2
): 208-13
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Immunohistochemical evaluation of myofibroblasts in odontogenic cysts and tumors:
A comparative study
#MMPMID27601810
Syamala D
; Suresh R
; Janardhanan M
; Savithri V
; Anand PP
; Jose A
J Oral Maxillofac Pathol
2016[May]; 20
(2
): 208-13
PMID27601810
show ga
CONTEXT: Myofibroblasts are fibroblasts with smooth muscle-like features
characterized by the presence of a contractile apparatus and found in the
connective tissue stroma of normal tissues such as blood vessels and lymph nodes.
They are now thought to play a role in the synthesis and reorganization of
extracellular matrix, which could contribute to the aggressive biologic behavior
of the lesions. AIMS: To compare the mean number of stromal myofibroblasts in
dentigerous cysts (DCs), keratocystic odontogenic tumor (KCOT) and ameloblastoma;
and to derive a correlation between the stromal myofibroblasts and the known
biologic behavior of the lesions. SETTINGS AND DESIGN: A cross-sectional
immunohistochemical analysis of cases of DC, KCOT and ameloblastoma. MATERIALS
AND METHODS: Twenty paraffin-embedded tissue blocks each of DC, KCOT and
multicystic ameloblastoma were selected for the study and diagnosis confirmed
through hematoxylin and eosin staining. Tissue sections were analyzed for the
number of myofibroblasts using alpha smooth muscle actin (?-SMA) immunostaining.
STATISTICAL ANALYSIS: Differences in the mean number of ?-SMA positive cells in
each group were analyzed using one-way ANOVA test. Intergroup comparisons of mean
values of ?-SMA positive cells were performed using Mann-Whitney U-test. RESULTS:
Ameloblastoma showed the highest number of myofibroblasts, whereas DC showed the
lowest. Among the groups, there were significant differences between the
myofibroblast counts among DC and KCOT and between DC and ameloblastoma, whereas
the difference in counts was not statistically significant between KCOT and
ameloblastoma. A positive correlation was observed between the myofibroblast
count and the known biologic behavior of the lesions. CONCLUSION: Myofibroblasts
may act in close association with the epithelial cells to bring about changes in
stromal microenvironment, favorable to the growth and progression of the lesion.
They may be of great value in predicting the biologic behavior and growth
potential of such lesions.