Histomorphology of aberrant crypt foci in colorectal carcinoma

Colorectal carcinogenesis is a complex multistep process that includes changes in histomorphological appearance of the colonic mucosa and changes at molecular level. Aberrant crypt foci (ACF) was first described by Bird in 1987 on examination of methylene-blue-stained colonic mucosa of azoxymethane-...

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Main Author: Niusha
Other Authors: Norlida, D.A.O.
Format: Journal
Published: Malaysian Journal of Pathology, Academy of Medicine of Malaysia 2010
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Online Access:http://www.myjurnal.my/public/article-view.php?id=6736
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spelling oai:www.myjurnal.my:67362018-09-20T00:00:00Z Histomorphology of aberrant crypt foci in colorectal carcinoma Niusha Immunology and Microbiology Colorectal carcinogenesis is a complex multistep process that includes changes in histomorphological appearance of the colonic mucosa and changes at molecular level. Aberrant crypt foci (ACF) was first described by Bird in 1987 on examination of methylene-blue-stained colonic mucosa of azoxymethane-treated mice under light microscopy. Since then ACF was considered as the earliest preneoplastic change that can be seen in the colonic mucosa. The aim of this study was to look at the histomorphology and distribution of ACF in colorectal carcinoma. 50 formalin-fixed archival colectomy specimens for colorectal carcinoma were examined under light microscopy after staining with 0.2% methylene blue. ACF was identified by larger and darker crypts with thickened epithelium, and often elevated from adjacent normal mucosa. ACF was found in 41 of 50 colectomy specimens examined. There were 328 ACF consisting of 36 (11.0%) ACF without hyperplasia or dysplasia, 263 (80.2%) ACF with hyperplasia and 29 (8.8%) ACF with dysplasia. Of these 29 ACF with dysplasia, 25 showed low grade dysplasia and four high grade dysplasia. The density of ACF was higher in the left colon, those older than 65 years of age and among males but these findings were statistically not significant. The crypt multiplicity of hyperplastic ACF (30.149, SD 28.395) was larger than dysplastic ACF (20.613, SD 40.128). The spectrum of histological changes observed probably represent the evolution of ACF in colorectal carcinogenesis. Malaysian Journal of Pathology, Academy of Medicine of Malaysia Norlida, D.A.O. 2010-00-00 Journal application/pdf 6736 www.myjurnal.my/filebank/published_article/43636.pdf www.myjurnal.my/public/article-view.php?id=6736
repository_type Digital Repository
institution_category Local Institution
institution MyJournal
building MyJournal Repository
collection Online Access
topic Immunology and Microbiology
spellingShingle Immunology and Microbiology
Niusha
Histomorphology of aberrant crypt foci in colorectal carcinoma
description Colorectal carcinogenesis is a complex multistep process that includes changes in histomorphological appearance of the colonic mucosa and changes at molecular level. Aberrant crypt foci (ACF) was first described by Bird in 1987 on examination of methylene-blue-stained colonic mucosa of azoxymethane-treated mice under light microscopy. Since then ACF was considered as the earliest preneoplastic change that can be seen in the colonic mucosa. The aim of this study was to look at the histomorphology and distribution of ACF in colorectal carcinoma. 50 formalin-fixed archival colectomy specimens for colorectal carcinoma were examined under light microscopy after staining with 0.2% methylene blue. ACF was identified by larger and darker crypts with thickened epithelium, and often elevated from adjacent normal mucosa. ACF was found in 41 of 50 colectomy specimens examined. There were 328 ACF consisting of 36 (11.0%) ACF without hyperplasia or dysplasia, 263 (80.2%) ACF with hyperplasia and 29 (8.8%) ACF with dysplasia. Of these 29 ACF with dysplasia, 25 showed low grade dysplasia and four high grade dysplasia. The density of ACF was higher in the left colon, those older than 65 years of age and among males but these findings were statistically not significant. The crypt multiplicity of hyperplastic ACF (30.149, SD 28.395) was larger than dysplastic ACF (20.613, SD 40.128). The spectrum of histological changes observed probably represent the evolution of ACF in colorectal carcinogenesis.
author2 Norlida, D.A.O.
author_facet Norlida, D.A.O.
Niusha
format Journal
author Niusha
author_sort Niusha
title Histomorphology of aberrant crypt foci in colorectal carcinoma
title_short Histomorphology of aberrant crypt foci in colorectal carcinoma
title_full Histomorphology of aberrant crypt foci in colorectal carcinoma
title_fullStr Histomorphology of aberrant crypt foci in colorectal carcinoma
title_full_unstemmed Histomorphology of aberrant crypt foci in colorectal carcinoma
title_sort histomorphology of aberrant crypt foci in colorectal carcinoma
publisher Malaysian Journal of Pathology, Academy of Medicine of Malaysia
publishDate 2010
url http://www.myjurnal.my/public/article-view.php?id=6736
first_indexed 2018-09-20T07:38:03Z
last_indexed 2018-09-20T07:38:03Z
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