Morphological analysis of collagen and elastic fibers in oral squamous cell carcinoma using special stains and comparison with Broder's and Bryne's grading systems

Objectives: Morphologic detection of connective tissue fiber changes in oral squamous cell carcinoma (OSCC) using special stains remains less documented. The aims of the present study were to study the collagen and elastic fibers in different stages of OSCC and to correlate these changes with two gr...

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Main Authors: Rinju Elsa John, Sarvani Murthy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Indian Journal of Dental Research
Subjects:
Online Access:http://www.ijdr.in/article.asp?issn=0970-9290;year=2016;volume=27;issue=3;spage=242;epage=248;aulast=John
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author Rinju Elsa John
Sarvani Murthy
author_facet Rinju Elsa John
Sarvani Murthy
author_sort Rinju Elsa John
collection DOAJ
description Objectives: Morphologic detection of connective tissue fiber changes in oral squamous cell carcinoma (OSCC) using special stains remains less documented. The aims of the present study were to study the collagen and elastic fibers in different stages of OSCC and to correlate these changes with two grading systems - Broder's and Bryne's. Study Design: Forty-eight cases of OSCC were studied using hematoxylin and eosin, Verhoeff's - Van Gieson stain for elastic fibers and picrosirius red stain for collagen fibers. The changes were compared with all the grades of carcinoma. Normal mucosa was taken as control. Results: Statistical analysis using Chi-square and ANOVA, showed significant association between the grades of carcinoma and extracellular matrix changes. Greenish-yellow collagen fibers were found to be significantly increased in the poorly differentiated/Grade 3 cases (P< 0.0001) where as well-differentiated/Grade 1 cases showed predominantly reddish-orange and yellowish-orange birefringence of collagen fibers. Chi-square analysis showed a significant amount of fragmented pattern of elastic fibers in poorly differentiated OSCC (χ2 = 104.45, P = 0.009)/Grade 3 OSCC (χ2 = 94.81, P = 0.016). Conclusion: The study of the connective tissue stromal changes can be used as an adjunct to histological grading and thereby helping the surgeon to determine the amount of marginal clearance.
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spelling doaj.art-2190c1798f3646e9967d1b7a897b02612022-12-21T21:52:04ZengWolters Kluwer Medknow PublicationsIndian Journal of Dental Research0970-92901998-36032016-01-0127324224810.4103/0970-9290.186242Morphological analysis of collagen and elastic fibers in oral squamous cell carcinoma using special stains and comparison with Broder's and Bryne's grading systemsRinju Elsa JohnSarvani MurthyObjectives: Morphologic detection of connective tissue fiber changes in oral squamous cell carcinoma (OSCC) using special stains remains less documented. The aims of the present study were to study the collagen and elastic fibers in different stages of OSCC and to correlate these changes with two grading systems - Broder's and Bryne's. Study Design: Forty-eight cases of OSCC were studied using hematoxylin and eosin, Verhoeff's - Van Gieson stain for elastic fibers and picrosirius red stain for collagen fibers. The changes were compared with all the grades of carcinoma. Normal mucosa was taken as control. Results: Statistical analysis using Chi-square and ANOVA, showed significant association between the grades of carcinoma and extracellular matrix changes. Greenish-yellow collagen fibers were found to be significantly increased in the poorly differentiated/Grade 3 cases (P< 0.0001) where as well-differentiated/Grade 1 cases showed predominantly reddish-orange and yellowish-orange birefringence of collagen fibers. Chi-square analysis showed a significant amount of fragmented pattern of elastic fibers in poorly differentiated OSCC (χ2 = 104.45, P = 0.009)/Grade 3 OSCC (χ2 = 94.81, P = 0.016). Conclusion: The study of the connective tissue stromal changes can be used as an adjunct to histological grading and thereby helping the surgeon to determine the amount of marginal clearance.http://www.ijdr.in/article.asp?issn=0970-9290;year=2016;volume=27;issue=3;spage=242;epage=248;aulast=JohnBroder's gradingBryne's gradingcollagen fiberselastic fibersoral squamous cell carcinomapicrosirius red stainingVerhoeff Van-Gieson stain
spellingShingle Rinju Elsa John
Sarvani Murthy
Morphological analysis of collagen and elastic fibers in oral squamous cell carcinoma using special stains and comparison with Broder's and Bryne's grading systems
Indian Journal of Dental Research
Broder's grading
Bryne's grading
collagen fibers
elastic fibers
oral squamous cell carcinoma
picrosirius red staining
Verhoeff Van-Gieson stain
title Morphological analysis of collagen and elastic fibers in oral squamous cell carcinoma using special stains and comparison with Broder's and Bryne's grading systems
title_full Morphological analysis of collagen and elastic fibers in oral squamous cell carcinoma using special stains and comparison with Broder's and Bryne's grading systems
title_fullStr Morphological analysis of collagen and elastic fibers in oral squamous cell carcinoma using special stains and comparison with Broder's and Bryne's grading systems
title_full_unstemmed Morphological analysis of collagen and elastic fibers in oral squamous cell carcinoma using special stains and comparison with Broder's and Bryne's grading systems
title_short Morphological analysis of collagen and elastic fibers in oral squamous cell carcinoma using special stains and comparison with Broder's and Bryne's grading systems
title_sort morphological analysis of collagen and elastic fibers in oral squamous cell carcinoma using special stains and comparison with broder s and bryne s grading systems
topic Broder's grading
Bryne's grading
collagen fibers
elastic fibers
oral squamous cell carcinoma
picrosirius red staining
Verhoeff Van-Gieson stain
url http://www.ijdr.in/article.asp?issn=0970-9290;year=2016;volume=27;issue=3;spage=242;epage=248;aulast=John
work_keys_str_mv AT rinjuelsajohn morphologicalanalysisofcollagenandelasticfibersinoralsquamouscellcarcinomausingspecialstainsandcomparisonwithbrodersandbrynesgradingsystems
AT sarvanimurthy morphologicalanalysisofcollagenandelasticfibersinoralsquamouscellcarcinomausingspecialstainsandcomparisonwithbrodersandbrynesgradingsystems