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Jiménez MD, G. A. ., Giraldo MD, D. C. ., Beltrán MD, D. M. ., & Vélez Hoyos MD, A. . (2019). Cuerpos vegetales en histopatología. Biosalud, 18(1), 46–61. https://doi.org/10.17151/biosa.2019.18.1.5
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Autores/as
Guillermo Antonio Jiménez MD
Universidad del Rosario, Bogotá
Derly Marcela Beltrán MD
Compensar EPSAlejandro Vélez Hoyos MD
Universidad Pontificia BolivarianaResumen
la presencia de cuerpos vegetales en el estudio histopatológico, aunque es bastante usual, puede presentar problemas diagnósticos si se presentan en localizaciones poco usuales o con morfología que pueda llegar a generar un reto diagnóstico para el patólogo. Este debe ser reconocido apropiadamente ya que puede llevar a diagnósticos y tratamientos erróneos. Métodos: se llevó a cabo una búsqueda bibliográfica en las bases de datos: Pubmed, ScienceDirect, Scielo, ResearchGate y Google Académico. Se utilizaron palabras como “plants”, “vegetables”, “histopathology”, “cytology”, “drugs”, “infectious pathology” y “suture” en diferentes combinaciones. Resultados: los cuerpos vegetales pueden observarse en múltiples muestras, ya sea como un pasajero ocasional, contaminación o en casos de trauma. Algunos casos generan un reto diagnóstico, pues no siempre se está familiarizado con la histología vegetal, por lo cual puede ser fácilmente confundido con parásitos, hongos, cuerpos extraños no vegetales y medicamentos. Además, en especímenes de citología cervical y de células exfoliadas de pulmón pueden simular células malignas epitelialesConclusión: la ubicuidad de los vegetales en los especímenes y la posibilidad de contaminación hace que los patólogos diariamente estén expuestos a este tipo de elementos. El conocimiento básico de la histología vegetal, los patrones especiales y los diagnósticos diferenciales permite el diagnóstico adecuado, lo que guiará el mejor tratamiento para el paciente.
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Citas
1. Molina-Ruiz AM, Requena L. Foreign Body Granulomas. Dermatol Clin. 2015;33(3):497–523.
2. Beer TW, Cole JM. Cutaneous pulse granulomas. Arch Pathol Lab Med. 2007;131(10):1513-1514.
3. Soubhia AM, Ribeiro AC, Martins LD, Silva AR, Lopes MA. Unusual wooden foreign body in the palate. Br Dent J. 2007;203(10):573-574.
4. Lima FJ, de Sousa Lopes MLD, Da Costa Miguel MC, de Almeida Freitas R, Queiroz LMG, Da Silveira EID. Oral Peripheral Hyaline Ring Granuloma of Vegetable Origin: Report of 2 Cases With Histochemical and Immunohistochemical Study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;120(2):e58.
5. Mahmoud A, Messaoud R, Abid F, Ksiaa I, Bouzayene M, Khairallah M. Anterior segment optical coherence tomography and retained vegetal intraocular foreign body masquerading as chronic anterior uveitis. J Ophthalmic Inflamm Infect. 2017;7(1):13.
6. Sánchez-martín FM, Martí mestre J, Mendoza cárcamo M, Bosch princep R, Camps pemán A, Corbella alonso J. Cuerpo extraño vegetal intratesticular. Actas Urológicas Españolas. 2004;28
(1):65–9
7. Watson RE, Stewart C. Experimental oral foreign body reactions: vegetable materials. Oral Surg Oral Med Oral Pathol. 1991;71(3):312–316.
8. Naik SV, Ghousia S, Shashibhushan K, Benni D. Pediatric oral pulse granuloma: A rare entity. Dent Res J (Isfahan). 2012;9(6):812–815.
9. Rivasi F, Tosi G, Ruozi B, Curatola C. Vegetable cells in Papanicolaou-stained cervical smears. Diagn Cytopathol. 2006;34(1):45–9.
10. Mulla H, Vibhute N, Baad R, Shashikiran N, Parker M, Parmod R, et al. An insight into diagnosis of a hidden entity: Impacted food material. Indian J Dent Res. 2018;29(1):41
11. Beck CB. An overview of plant structure and development. In: An introduction to plant structure and development: plant anatomy for the twenty-first century. Cambridge, UK; New York, NY: Cambridge University Press; 2017.
12. Evert RF, Esau K, Esau K. Esau’s Plant anatomy : meristems, cells, and tissues of the plant body : their structure, function, and development. Wiley-Interscience; 2006. 601 p.
13. Steeves TA, Sawhney VK. Essentials of developmental plant anatomy. Oxford University Press 2017. 184 p.
14. Mauseth JD. Botany : an introduction to plant biology. Burlington: Jones & Bartlett Learning; 2014. 696 p.
15. Acharya S, Hallikeri K, Anehosur V, Okade A. Oral pulse or hyaline ring granuloma: A case report and a brief review. Vol. 19, Journal of Indian Society of Periodontology. 2015. p. 327–
32.
16. Talacko AA, Radden BG. The pathogenesis of oral pulse granuloma: an animal model. J Oral Pathol. 1988;17(3):99–105.
17. Kimura TC, Carneiro MC, Coelho YFS, de Sousa SCOM, Veltrini VC. Hyaline ring granuloma of the mouth-A foreign-body reaction that dentists should be aware of: Critical review of literature and histochemical/immunohistochemical study of a new case [published online ahead of print, 2020 Jan 24]. Oral Dis. 2020;10.1111/odi.13287.
18. Harrison JD, Martin IC. Oral vegetable granuloma: ultrastructural and histological study. J Oral Pathol. 1986;15(6):322–326.
19. Shah AK. Oral pulse or hyaline ring granuloma: a bird’s eye view. Int J Histopathol Interpret. 2017;6(1):5–7.
20. Rhee DD, Wu ML. Pulse granulomas detected in gallbladder, fallopian tube, and skin. Arch Pathol Lab Med. 2006;130(12):1839–1842.
21. Accorsi CA, Mazzanti MB, Forlani L, Rivasi F. Pollen grains in human cytology. Grana. 1991 1;30(1):102–8.
22. Naryshkin S, Bedrossian CW. Selected mimics of malignancy in sputum and bronchoscopic cytology specimens. Diagn Cytopathol. 1995;13(5):443–447.
23. Quiroga-Garza G, Nassar D, Khalbuss WE, Monaco SE, Pantanowitz L. Vegetable Cell Contaminants in Urinary Bladder Diversion Cytology Specimens. Acta Cytol. 2012;56(3):271–6.
24. A Moatamed N. The Sheep in Wolf’s Clothing: Vegetable and Fruit Particles Mimicking Cells and Microorganisms in Cytology Specimens. J Cytol Histol. 2013;05(01).
25. Naryshkin S, Young NA. Respiratory cytology: a review of non-neoplastic mimics of malignancy. Diagn Cytopathol. 1993;9(1):89–97.
26. Saad RS, Silverman JF. Respiratory cytology: differential diagnosis and pitfalls. Diagn Cytopathol. 2010;38(4):297–307.
27. Policarpio-Nicolas ML, Wick MR. False-positive interpretations in respiratory cytopathology: exemplary cases and literature review. Diagn Cytopathol. 2008;36(1):13–19. doi:10.1002/dc.20734
28. Odze RD, Goldblum JR. Odze and Goldblum surgical pathology of the GI tract, liver, biliary tract, and pancreas. Philadelphia: Elsevier Saunders; 2015. 1632 p.
29. Akıncı O, Kepil N, Erzin YZ, Zengin AK. Enterobius vermicularis Infestation Mimicking Rectal Malignancy. Turkiye Parazitol Derg. 2020;44(1):58–60.
30. Avolio L, Avoltini V, Ceffa F, Bragheri R. Perianal granuloma caused by Enterobius vermicularis: report of a new observation and review of the literature. J Pediatr. 1998;132(6):1055–
1056.
31. Arkoulis N, Zerbinis H, Simatos G, Nisiotis A. Enterobius vermicularis (pinworm) infection of the liver mimicking malignancy: Presentation of a new case and review of current literature. Int J Surg Case Rep. 2012;3(1):6–9.
32. Pigac B, Mašić S, Mašić V. Enterobius vermicularis in the Endometrium of the Uterus: A Case Report. Iran J Parasitol. 2017;12(4):638–641.
33. Zahariou A, Karamouti M, Papaioannou P. Enterobius vermicularis in the male urinary tract: a case report. J Med Case Rep. 2007 Dec 14;1(1):137.
34. Kradin RL. Diagnostic Pathology of Infectious Disease. Philadelphia: Elsevier; 2017. 700 p.
35. Gutierrez Y. Diagnostic Pathology of Parasitic Infections with Clinical Correlations. Second. Press OU, editor. 2001. 769 p.
36. Mello CM, Briggs Mdo C, Venâncio ES, Brandão AB, Queiroz Filho CC. Granulomatous peritonitis by ascaris. J Pediatr Surg. 1992;27(9):1229–1230.
37. Khuroo MS, Zargar SA, Yattoo GN, et al. Ascaris-induced acute pancreatitis. Br J Surg. 1992;79(12):1335–1338.
38. Uysal E, Dokur M. The Helminths Causing Surgical or Endoscopic Abdominal Intervention: A Review Article. Iran J Parasitol. 2017;12(2):156–168.
39. Krolewiecki A, Nutman TB. Strongyloidiasis: A Neglected Tropical Disease. Infect Dis Clin North Am. 2019;33(1):135–151.
40. Rivasi F, Pampiglione S, Boldorini R, Cardinale L. Histopathology of gastric and duodenal Strongyloides stercoralis locations in fifteen immunocompromised subjects. Arch Pathol Lab Med.
2006;130(12):1792–1798.
41. Ok KS, Kim YS, Song JH, et al. Trichuris trichiura infection diagnosed by colonoscopy: case reports and review of literature. Korean J Parasitol. 2009;47(3):275–280.
42. Bogitsh, Burton J. Carter, Clint E. Oeltmann, Thomas N. Intestinal Nematodes En: Bogitsh, Burton J. Carter, Clint E. Oeltmann, Thomas N. Human Pathology. Academic Press; 4th Edition.
2013.
43. Hoda SA, Ali A. Images in pathology. Food for thought! Vegetable cells in histopathological sections. Int J Surg Pathol. 2003;11(2):120.
44. Martínez-Giron R, Doganci L, Ribas-Barceló A, Esteban-Sanchís JG. Pollen grains in sputum smear mimicking Toxocara eggs. Acta Cytol. 2010;54(1):121–122.
45. Martínez-Girón R, Jodra-Fernández O, Tormo-Molina R, Esteban JG, Ribas-Barceló A. Uncommon structures simulating helminth eggs in sputum. Acta Cytol. 2005;49(5):578–580.
46. Procop GW, Pritt BS. Pathology of infectious diseases. 2015.
47. Yeremiev K, Cvetkova T, Pavlov S, Stoyanova K. Histomorphological characteristics of Ascaris lumbricoides and Taeniarhynchus saginatus. Scr Sci Vox Studentium. 2017 15;1(1):32.
48. Hulínská D, Hulínský V. The histology and histochemistry of the cuticle of females of Enterobius vermicularis. Folia Parasitol (Praha). 1973;20(1):5–15.
49. Marginean EC. The Ever-Changing Landscape of Drug-Induced Injury of the Lower Gastrointestinal Tract. Arch Pathol Lab Med. 2016;140(8):748–758.
50. Rashid A, Hamilton SR. Necrosis of the gastrointestinal tract in uremic patients as a result of sodium polystyrene sulfonate (Kayexalate) in sorbitol: an underrecognized condition. Am J Surg Pathol. 1997;21(1):60–69.
51. Harel Z, Harel S, Shah PS, Wald R, Perl J, Bell CM. Gastrointestinal adverse events with sodium polystyrene sulfonate (Kayexalate) use: a systematic review. Am J Med. 2013;126(3):264.e9–264. e2.64E24.
52. Chaplin AJ. The use of histological techniques for the demonstration of ion exchange resins. J Clin Pathol. 1999;52(10):776–779.
53. Arnold MA, Swanson BJ, Crowder CD, et al. Colesevelam and colestipol: novel medication resins in the gastrointestinal tract. Am J Surg Pathol. 2014;38(11):1530–1537.
54. Swanson BJ, Limketkai BN, Liu TC, et al. Sevelamer crystals in the gastrointestinal tract (GIT): a new entity associated with mucosal injury. Am J Surg Pathol. 2013;37(11):1686–1693.
55. Desai RS. Hyaline ring granuloma. J Oral Maxillofac Pathol. 2015;19(2):120–121.
56. Armas Moredo, Pérez A, Bárbaro A., Segura P, Leandro. Materiales de sutura quirúrgico. Archivo Médico de Camagüey. 2009;13(5).
57. Postlethwait RW, Willigan DA, Ulin AW. Human tissue reaction to sutures. Ann Surg. 1975;181(2):144– 150.
58. Nassereddine H, Poté N, Tammaro P, Couvelard A. Peritoneal Pulse Granulomas With Spiral Bodies Mimicking Peritoneal Carcinomatosis: A Case Report. Int J Surg Pathol. 2018;26(6):561–563.
59. Crucitti A, Grossi U, Leccisotti L, et al. Food residue granuloma mimicking metastatic disease on FDG-PET/CT. Jpn J Radiol. 2013;31(5):349–351.
2. Beer TW, Cole JM. Cutaneous pulse granulomas. Arch Pathol Lab Med. 2007;131(10):1513-1514.
3. Soubhia AM, Ribeiro AC, Martins LD, Silva AR, Lopes MA. Unusual wooden foreign body in the palate. Br Dent J. 2007;203(10):573-574.
4. Lima FJ, de Sousa Lopes MLD, Da Costa Miguel MC, de Almeida Freitas R, Queiroz LMG, Da Silveira EID. Oral Peripheral Hyaline Ring Granuloma of Vegetable Origin: Report of 2 Cases With Histochemical and Immunohistochemical Study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;120(2):e58.
5. Mahmoud A, Messaoud R, Abid F, Ksiaa I, Bouzayene M, Khairallah M. Anterior segment optical coherence tomography and retained vegetal intraocular foreign body masquerading as chronic anterior uveitis. J Ophthalmic Inflamm Infect. 2017;7(1):13.
6. Sánchez-martín FM, Martí mestre J, Mendoza cárcamo M, Bosch princep R, Camps pemán A, Corbella alonso J. Cuerpo extraño vegetal intratesticular. Actas Urológicas Españolas. 2004;28
(1):65–9
7. Watson RE, Stewart C. Experimental oral foreign body reactions: vegetable materials. Oral Surg Oral Med Oral Pathol. 1991;71(3):312–316.
8. Naik SV, Ghousia S, Shashibhushan K, Benni D. Pediatric oral pulse granuloma: A rare entity. Dent Res J (Isfahan). 2012;9(6):812–815.
9. Rivasi F, Tosi G, Ruozi B, Curatola C. Vegetable cells in Papanicolaou-stained cervical smears. Diagn Cytopathol. 2006;34(1):45–9.
10. Mulla H, Vibhute N, Baad R, Shashikiran N, Parker M, Parmod R, et al. An insight into diagnosis of a hidden entity: Impacted food material. Indian J Dent Res. 2018;29(1):41
11. Beck CB. An overview of plant structure and development. In: An introduction to plant structure and development: plant anatomy for the twenty-first century. Cambridge, UK; New York, NY: Cambridge University Press; 2017.
12. Evert RF, Esau K, Esau K. Esau’s Plant anatomy : meristems, cells, and tissues of the plant body : their structure, function, and development. Wiley-Interscience; 2006. 601 p.
13. Steeves TA, Sawhney VK. Essentials of developmental plant anatomy. Oxford University Press 2017. 184 p.
14. Mauseth JD. Botany : an introduction to plant biology. Burlington: Jones & Bartlett Learning; 2014. 696 p.
15. Acharya S, Hallikeri K, Anehosur V, Okade A. Oral pulse or hyaline ring granuloma: A case report and a brief review. Vol. 19, Journal of Indian Society of Periodontology. 2015. p. 327–
32.
16. Talacko AA, Radden BG. The pathogenesis of oral pulse granuloma: an animal model. J Oral Pathol. 1988;17(3):99–105.
17. Kimura TC, Carneiro MC, Coelho YFS, de Sousa SCOM, Veltrini VC. Hyaline ring granuloma of the mouth-A foreign-body reaction that dentists should be aware of: Critical review of literature and histochemical/immunohistochemical study of a new case [published online ahead of print, 2020 Jan 24]. Oral Dis. 2020;10.1111/odi.13287.
18. Harrison JD, Martin IC. Oral vegetable granuloma: ultrastructural and histological study. J Oral Pathol. 1986;15(6):322–326.
19. Shah AK. Oral pulse or hyaline ring granuloma: a bird’s eye view. Int J Histopathol Interpret. 2017;6(1):5–7.
20. Rhee DD, Wu ML. Pulse granulomas detected in gallbladder, fallopian tube, and skin. Arch Pathol Lab Med. 2006;130(12):1839–1842.
21. Accorsi CA, Mazzanti MB, Forlani L, Rivasi F. Pollen grains in human cytology. Grana. 1991 1;30(1):102–8.
22. Naryshkin S, Bedrossian CW. Selected mimics of malignancy in sputum and bronchoscopic cytology specimens. Diagn Cytopathol. 1995;13(5):443–447.
23. Quiroga-Garza G, Nassar D, Khalbuss WE, Monaco SE, Pantanowitz L. Vegetable Cell Contaminants in Urinary Bladder Diversion Cytology Specimens. Acta Cytol. 2012;56(3):271–6.
24. A Moatamed N. The Sheep in Wolf’s Clothing: Vegetable and Fruit Particles Mimicking Cells and Microorganisms in Cytology Specimens. J Cytol Histol. 2013;05(01).
25. Naryshkin S, Young NA. Respiratory cytology: a review of non-neoplastic mimics of malignancy. Diagn Cytopathol. 1993;9(1):89–97.
26. Saad RS, Silverman JF. Respiratory cytology: differential diagnosis and pitfalls. Diagn Cytopathol. 2010;38(4):297–307.
27. Policarpio-Nicolas ML, Wick MR. False-positive interpretations in respiratory cytopathology: exemplary cases and literature review. Diagn Cytopathol. 2008;36(1):13–19. doi:10.1002/dc.20734
28. Odze RD, Goldblum JR. Odze and Goldblum surgical pathology of the GI tract, liver, biliary tract, and pancreas. Philadelphia: Elsevier Saunders; 2015. 1632 p.
29. Akıncı O, Kepil N, Erzin YZ, Zengin AK. Enterobius vermicularis Infestation Mimicking Rectal Malignancy. Turkiye Parazitol Derg. 2020;44(1):58–60.
30. Avolio L, Avoltini V, Ceffa F, Bragheri R. Perianal granuloma caused by Enterobius vermicularis: report of a new observation and review of the literature. J Pediatr. 1998;132(6):1055–
1056.
31. Arkoulis N, Zerbinis H, Simatos G, Nisiotis A. Enterobius vermicularis (pinworm) infection of the liver mimicking malignancy: Presentation of a new case and review of current literature. Int J Surg Case Rep. 2012;3(1):6–9.
32. Pigac B, Mašić S, Mašić V. Enterobius vermicularis in the Endometrium of the Uterus: A Case Report. Iran J Parasitol. 2017;12(4):638–641.
33. Zahariou A, Karamouti M, Papaioannou P. Enterobius vermicularis in the male urinary tract: a case report. J Med Case Rep. 2007 Dec 14;1(1):137.
34. Kradin RL. Diagnostic Pathology of Infectious Disease. Philadelphia: Elsevier; 2017. 700 p.
35. Gutierrez Y. Diagnostic Pathology of Parasitic Infections with Clinical Correlations. Second. Press OU, editor. 2001. 769 p.
36. Mello CM, Briggs Mdo C, Venâncio ES, Brandão AB, Queiroz Filho CC. Granulomatous peritonitis by ascaris. J Pediatr Surg. 1992;27(9):1229–1230.
37. Khuroo MS, Zargar SA, Yattoo GN, et al. Ascaris-induced acute pancreatitis. Br J Surg. 1992;79(12):1335–1338.
38. Uysal E, Dokur M. The Helminths Causing Surgical or Endoscopic Abdominal Intervention: A Review Article. Iran J Parasitol. 2017;12(2):156–168.
39. Krolewiecki A, Nutman TB. Strongyloidiasis: A Neglected Tropical Disease. Infect Dis Clin North Am. 2019;33(1):135–151.
40. Rivasi F, Pampiglione S, Boldorini R, Cardinale L. Histopathology of gastric and duodenal Strongyloides stercoralis locations in fifteen immunocompromised subjects. Arch Pathol Lab Med.
2006;130(12):1792–1798.
41. Ok KS, Kim YS, Song JH, et al. Trichuris trichiura infection diagnosed by colonoscopy: case reports and review of literature. Korean J Parasitol. 2009;47(3):275–280.
42. Bogitsh, Burton J. Carter, Clint E. Oeltmann, Thomas N. Intestinal Nematodes En: Bogitsh, Burton J. Carter, Clint E. Oeltmann, Thomas N. Human Pathology. Academic Press; 4th Edition.
2013.
43. Hoda SA, Ali A. Images in pathology. Food for thought! Vegetable cells in histopathological sections. Int J Surg Pathol. 2003;11(2):120.
44. Martínez-Giron R, Doganci L, Ribas-Barceló A, Esteban-Sanchís JG. Pollen grains in sputum smear mimicking Toxocara eggs. Acta Cytol. 2010;54(1):121–122.
45. Martínez-Girón R, Jodra-Fernández O, Tormo-Molina R, Esteban JG, Ribas-Barceló A. Uncommon structures simulating helminth eggs in sputum. Acta Cytol. 2005;49(5):578–580.
46. Procop GW, Pritt BS. Pathology of infectious diseases. 2015.
47. Yeremiev K, Cvetkova T, Pavlov S, Stoyanova K. Histomorphological characteristics of Ascaris lumbricoides and Taeniarhynchus saginatus. Scr Sci Vox Studentium. 2017 15;1(1):32.
48. Hulínská D, Hulínský V. The histology and histochemistry of the cuticle of females of Enterobius vermicularis. Folia Parasitol (Praha). 1973;20(1):5–15.
49. Marginean EC. The Ever-Changing Landscape of Drug-Induced Injury of the Lower Gastrointestinal Tract. Arch Pathol Lab Med. 2016;140(8):748–758.
50. Rashid A, Hamilton SR. Necrosis of the gastrointestinal tract in uremic patients as a result of sodium polystyrene sulfonate (Kayexalate) in sorbitol: an underrecognized condition. Am J Surg Pathol. 1997;21(1):60–69.
51. Harel Z, Harel S, Shah PS, Wald R, Perl J, Bell CM. Gastrointestinal adverse events with sodium polystyrene sulfonate (Kayexalate) use: a systematic review. Am J Med. 2013;126(3):264.e9–264. e2.64E24.
52. Chaplin AJ. The use of histological techniques for the demonstration of ion exchange resins. J Clin Pathol. 1999;52(10):776–779.
53. Arnold MA, Swanson BJ, Crowder CD, et al. Colesevelam and colestipol: novel medication resins in the gastrointestinal tract. Am J Surg Pathol. 2014;38(11):1530–1537.
54. Swanson BJ, Limketkai BN, Liu TC, et al. Sevelamer crystals in the gastrointestinal tract (GIT): a new entity associated with mucosal injury. Am J Surg Pathol. 2013;37(11):1686–1693.
55. Desai RS. Hyaline ring granuloma. J Oral Maxillofac Pathol. 2015;19(2):120–121.
56. Armas Moredo, Pérez A, Bárbaro A., Segura P, Leandro. Materiales de sutura quirúrgico. Archivo Médico de Camagüey. 2009;13(5).
57. Postlethwait RW, Willigan DA, Ulin AW. Human tissue reaction to sutures. Ann Surg. 1975;181(2):144– 150.
58. Nassereddine H, Poté N, Tammaro P, Couvelard A. Peritoneal Pulse Granulomas With Spiral Bodies Mimicking Peritoneal Carcinomatosis: A Case Report. Int J Surg Pathol. 2018;26(6):561–563.
59. Crucitti A, Grossi U, Leccisotti L, et al. Food residue granuloma mimicking metastatic disease on FDG-PET/CT. Jpn J Radiol. 2013;31(5):349–351.
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