Twenty-eight cases of primary lung cancer were studied by electron microscopy in detecting ultrastructural differences between cancer cells and non-malignant cells of human lungs.
In a lung cancer tissue, three kinds of cancer cells are observed; dark cells, light cells, and goblet cell-like cells (presently designated as mucous cells). The latter cells are commonly observed in adenocarcinoma and uncornified epidermoid carcinoma of peripheral origin, but rarely in cornified epidermoid carcinoma and undifferentiated carcinoma of central origin.
The cancer cell nucleus is variable in size, shape, and structure. The chromatin clumps of cancer cells are irregularly distributed throughout the nuclei and their size and shape are very variable, unlike those of non-malignant cells. Undifferentiated carcinoma cells (small cell type) are often strikingly characterized by many tiny nucleoli while they reveal a marked condensation of chromatin clumps.
Many abnormal findings are observed suggesting an incomplete maturation or differentiation of cancer cells, i.e., incomplete polarity, long microvilli or striated borders instead of cilia, extraordinarily developed Golgi apparatus or endoplasmic reticulum, etc. Desmosomeas nd tonofibrils are abundant in cornified epidermoid carcinoma, a few in uncornified epidermoid carcinoma and adenocarcinoma, and none in undifferentiated carcinoma. On ultrastructure, it is impossible to differentiate uncornified epidermoid carcinoma from adenocarcinoma of the lung periphery.
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