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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 32(2); 1989 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1989;32(2): 273-80.
Histochemical Study of the Glycoprotein in Nasal Polyp Mucosa
Nam Mi Park, MD1, Hoon Kim, MD2, and Joong Whan Kim, MD2
1;Department of Otorhinolaryngology, Koryo General Hospital, 2;Department of Otolaryngology, College of Medicine, Chung-Ang University, Korea
비용점막의 당단백에 관한 조직화학적 연구
박남미1 · 김 훈2 · 김중환2
고려병원 이비인후과학교실1;중앙대학교 의과대학 이비인후과학교실2;
ABSTRACT

Though nasal polyps are a common clinical problem, their exact structure and etiology have still not been clarified. The glycoconjugates take part in body defence mechanism, as a type of mucus, immunoglobulin and proteolytic enzyme inhibition. The purposes of the present study are to know histologic finding and functional activity of nasal polyp mucosa simultaneously, and to search the distribution of glycoconjugates in nasal polyps histologically. 1) Eosinophilic and neutrophilic polyps were 29 cases/40 cases(72.5%) and 11 cases/40 cases(27.5%), respectively. 2) Various types of mucosal epithelium were demonstrated : ciliated pseudostratified columnar epithelium(80%), squamous metaplasia(5%), single basal layer(5%) and desquamation(2.5%). 3) Mucosal epithelium and goblet cells in epithelium were demonstrated with strong positivity by periodic acid-shiff(PAS) reaction and alcian blue(AB) stain(PH2.5). 4) Basement membrane shows variety in thickness and better demonstrated in PAS reaction than in AB stain. 5) The glycoprotein in stromal connective tissue was better stained with AB stain than with AB stain than with PAS reaction. 6) Glandular epitheliums were composed of ciliated pseudostratified columnar epithelium(52.5%), simple columnar epithelium(25.0%), cuboidal cell(20%) and single flat cell(2.5%), glandular structures were well demonstrated with AB and PAS reaction. Also different activities of gland in same microscopic field were observed. 7) There were strong positive reaction of glycoproteins with PAS reaction and AB stain in epithelium, basement membrane and subepithelial tissue. It is suggested that the glycoprotein in tissue play a role in defence mechanism.

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