125
E
pulides are a common group of oral lesions
which account for 40 per cent of all oral
neoplasms in dog.
There is considerable confusion about the use of
the term epulis in veterinary literature. It simply
refers to localized gingival enlargment and encom-
passes both non-neoplastic reactive and neoplastic
lesions (Bostoch, 1987; Dubielzig, 2002).
Canine epulides differ strikingly in clinical behav-
iour. Fibromatous epulis of periodontal ligament
origin, also called peripheral odontogenic fibroma
by Gardner and Baker (1991) and ossifying
epulides are considered inflammatory and hyper-
plasic lesions. On the contrary, acanthomatous
ameloblastoma (Gardner, 1993; Head, 2003), pre-
viously called acanthomatous epulides because ori-
gins from odontogenic epithelial cells found near
the tooth or in the gingival epithelium (Dunne,
2001), despite its benign histological appearance,
usually shows a malignant biological behaviour
(Yoshida, 1999, b).
Acanthomatous ameloblastoma is considered an
aggressive tumor of the canine jaw, characterized by
an irregular verrucous masses adjacent to the tooth,
consisting of sheets of no keratinizing odontogenic
epithelium, with peripheral palisading epithelium and
abundant central acanthocytes with prominent inter-
cellular bridges. (Head, 2003). Characteristically,
epithelial cells have an infiltrative growth and invade
the deep sub mucosa.These lesions are in fact local-
ly invasive, with repeated recurrences following sur-
gery (Backer, 1993; Gardner, 1993) and can change
into malignant tumors when they invade bone and
after irradiation (Thrall, 1981; Thrall, 1984).
Moreover,recurrent tumors are more aggressive and
anaplastic than primary tumour, and have a biologi-
cal behaviour similar to that of squamous cell carci-
noma (Head, 2003).
Several studies, in veterinary medicine, have con-
sidered nuclear morphometric analysis as an useful
diagnostic predictor in various cancers (mast cell
©2006, European Journal of Histochemistry
The aim of this study was to evaluate whether morphometrical
analysis can be of diagnostic value for canine acanthomatous
ameloblastoma. We calculated, by means of an automated
image analyser, some morphometric nuclear parameters, in par-
ticular: mean nuclear area (MNA), mean nuclear perimeter
(MNP), maximum and minimum diameters (MDx and MDm)
coefficient of variation of the nuclear area (NACV), largest to
smallest dimension ratio (LS ratio), and form factor (FF), in 8
canine acanthomatous ameloblastomas, and we compared
these morphometric data to those of 13 squamous cell carci-
nomas of canine gingiva. The results indicated a progressive
increase of the MNA, NACV, MNP and MDm proceeding from
acanthomatous ameloblastomas (MNA: 42.11±8.74; NACV:
28,36±7,23; MNP: 24.18± 2.68; MDm: 5.69±0.49) to squa-
mous cell carcinomas (MNA:49,69±9,10; NACV: 30,89±7,75;
MNP: 25.63±2.54; MDm: 6.64±0.73). On the contrary, the LS
ratio and the FF resulted greater in acanthomatous ameloblas-
tomas (LS ratio: 1,63±0,12; FF: 1,13±0,002) than in SCCs (LS
ratio: 1,40±0,12; FF:0.91±0.38). Moreover, the MNA, MNP,MDx
and MDm resulted similar (MNA: p=0.89; MNP: p=0,65; MDm:
p=0,16; MDx: p=0,13) in a subset of four acanthomatous
ameloblastomas with cellular atypia (MNA:49,01±6,88; MNP:
26,28±1,99; MDm: 6.08±0.41; MDx: 10.18±0.88) and in
squamous cell carcinomas (MNA:49.69±9,10; MNP:
25.63±2.54; MDm: 6.64±0.73; MDx: 9.26±1.05). While the
NACV values resulted higher in typical acanthomatous
ameloblastoma (29,99±6,06) than in atypical acanthomatous
ameloblastoma (26,74±8,84) and similar to those of the SCCs
(30,89±7,75). These results seem to confirm that acanthoma-
tous ameloblastoma is a malignant or potentially malignant
lesion and emphasizes that nuclear morphometry analysis can
be an useful diagnostic and prognostic method in canine oral
pathology.
Key words: acanthomatous ameloblastoma, dog, nuclear
morphometry, squamous cell carcinoma.
Correspondence: Manuela Martano,
Dipartimento di Patologia e Sanità Animale,
Facoltà di Scienze Biotecnologiche,
Università degli Studi di Napoli Federico II,
Via Delpino 1, 80137 Naples, Italy
Tel: +39.81.440301/447176.
Fax: +39.81.446746.
E-mail: manuela.martano@unina.it
Paper accepted on April 4, 2006
European Journal of Histochemistry
2006; vol. 50 issue 2 (Apr-Jun):125-130
Nuclear morphometry in canine acanthomatous ameloblastomas and
squamous cell carcinomas
M. Martano,* S. Damiano, B. Restucci, O. Paciello, V. Russo, P. Maiolino
*Dipartimento di Patologia e Sanità Animale, Settore Anatomia Patologica, Facoltà di Scienze
Biotecnologiche, Università degli Studi di Napoli Federico II; Dipartimento di Patologia e Sanità
Animale, Settore Anatomia Patologica, Facoltà di Medicina Veterinaria, Università degli Studi di Napoli
Federico II, Italy
ORIGINAL PAPER
2006_02.qxd 7-07-2008 12:15 Pagina 125