What are the key histological features of healthy pancreatic tissue?
Healthy pancreatic tissue consists of acinar cells organized into acini, which produce digestive enzymes, and islets of Langerhans containing endocrine cells like beta and alpha cells for insulin and glucagon secretion. The pancreatic ducts transport enzymes, and there is a distinct separation between exocrine and endocrine components.
What are the common histological changes seen in pancreatic cancer?
Common histological changes in pancreatic cancer include glandular disorganization, nuclear atypia, prominent nucleoli, increased mitotic activity, stromal desmoplasia, perineural invasion, and the presence of irregular and invasive ductal structures within the pancreatic parenchyma. These changes contribute to the aggressive and invasive nature of pancreatic ductal adenocarcinoma.
How does chronic pancreatitis affect the histological structure of the pancreas?
Chronic pancreatitis leads to histological changes in the pancreas, including acinar cell atrophy, fibrosis, loss of pancreatic parenchyma, and infiltration with inflammatory cells. The architecture of the gland is disrupted, ducts can become dilated or obstructed, and islets of Langerhans may be relatively preserved but can become atrophic over time.
What are the methods used for examining pancreatic histology?
Methods for examining pancreatic histology include light microscopy using stains like Hematoxylin and Eosin (H&E), immunohistochemistry for specific protein markers, electron microscopy for ultrastructural details, and molecular techniques such as in situ hybridization and PCR for detecting genetic and molecular changes.
How does acute pancreatitis impact the histology of pancreatic tissue?
Acute pancreatitis causes pancreatic tissue to exhibit necrosis, edema, and inflammation. Histologically, acinar cell damage, interstitial fat necrosis, and infiltration by inflammatory cells, especially neutrophils, are prominent. Hemorrhage may also occur in severe cases.