Numerous Goblet Cells Research Articles

Evaluation of the morphological adaptations of the small intestine of the African pied crow (Corvus albus)

The morphology and morphometry of the small intestine of the Adult African pied crow in a tropical habitat was studied. Fifteen African pied crows used in this study revealed modification of the jejunum into centripetal and centrifugal cone shaped spiral coils. The weight and length of jejunum was significantly greater (p<0.05) than those of duodenum and ileum respectively. Histologically, the tunica mucosa in all the segments was modified into villi which showed wavy and anastomosing configurations in the jejunum. Each villus was lined by simple columnar epithelium with numerous goblet cells. The length, population and surface area of villi in the jejunum was significantly (p<0.05) higher than those of the duodenum and ileum respectively while the population of goblet cells were significantly higher (p<0.05) in the ileum compared to the duodenum and jejunum. The bases of the villi were modified into the crypts of lieberkuhn which together with numerous mucosal glands are located in the connective tissue of the lamina priopria. The lamina muscularis mucosae separated the lamina propria from the thin submucosa in the walls of the three segments. The tunica muscularis was significantly thicker (p<0.05) in the jejunum than in the ileum and duodenum respectively. The morphological modifications probably maximize space for efficient absorption and reduction of digestive load.

Histological, histochemical and ultrastructural analysis reveals functional division of the oesophagogastric segment in freshwater tubenose goby Proterorhinus semilunaris Heckel, 1837

Histological and histochemical features of the oesophagogastric segment of the alimentary canal as well as ultrastructure of gastric gland cells of freshwater tubenose goby Proterorhinus semilunaris were examined. The studies revealed that despite the lack of anatomical distinction, the oesophagogastric segment is histologically divided into the oesophagus, oesogaster and stomach, which provides evidence for the functional compartmentation of this organ. The oesophagus was characterised by the presence of numerous goblet cells secreting mainly a mixture of neutral and acid mucopolysaccharides. In the stomach, the apical zone of the surface epithelial cells contained neutral mucopolysaccharides. Numerous proliferating cells were scattered throughout the surface epithelium. In the lamina propria of the stomach, a well-developed layer of gastric glands was observed. The glands were of the alveolar type and occupied nearly the entire length of the stomach except the pyloric region. The gastric gland cells were varied into light and dark; however, their ultrastructure was identical. All cells had numerous mitochondria and a well-developed tubulovesicular system typical for the oxynticopeptic cells, but pepsinogen granules were not present in the cytoplasm of these cells. These findings contribute new evidence to literature reports that not all gobiid fish are stomachless. Moreover, they suggest higher adaptation of the species to utilise protein-rich food compared to stomachless fish, and its ability to adjust the alimentary canal quickly to changing diet. How this may facilitate establishment of P. semilunaris in invaded environments remains an open question.

Histological observation of goblet cells following topical rebamipide treatment of the human ocular surface: A case report.

The topical administration of rebamipide (Mucosta®), an antiulcer agent, clinically increases the mucin level of tear film. The aim of this study was to report the histological changes of goblet cells following the topical administration of rebamipide to a patient with nevus of the lacrimal caruncle. A 62-year-old male exhibited a pigmented nodule located in the lacrimal caruncle in the left eye. An excisional biopsy and subsequent surgical resection were conducted at the caruncle, prior to and three months after topical rebamipide administration. Histologically, a biopsy specimen revealed a pigmented nevus beneath the caruncle epithelium containing a few goblet cells [4 cells/high power field (HPF)]. A few nevus cells were present at the surgical margin. By contrast, the secondary resected specimen obtained three months after the initiation of topical rebamipide treatment revealed the epithelium and nevus, where numerous goblet cells were present (28 cells/HPF), and mucin-like substances were markedly secreted from the goblet cells. Topical rebamipide markedly increased the number of goblet cells and stimulated the secretion of mucin-like substances in the caruncular tissue of a human patient. These results suggest that topical rebamipide is useful in patients following surgery and/or biopsy to support tissue repair of the ocular surface.

Ocular surface reconstruction with a tissue-engineered nasal mucosal epithelial cell sheet for the treatment of severe ocular surface diseases.

Severe ocular surface diseases (OSDs) with severe dry eye can be devastating and are currently some of the most challenging eye disorders to treat. To investigate the feasibility of using an autologous tissue-engineered cultivated nasal mucosal epithelial cell sheet (CNMES) for ocular surface reconstruction, we developed a novel technique for the culture of nasal mucosal epithelial cells expanded ex vivo from biopsy-derived human nasal mucosal tissues. After the protocol, the CNMESs had 4-5 layers of stratified, well-differentiated cells, and we successfully generated cultured epithelial sheets, including numerous goblet cells. Immunohistochemistry confirmed the presence of keratins 3, 4, and 13; mucins 1, 16, and 5AC; cell junction and basement membrane assembly proteins; and stem/progenitor cell marker p75 in the CNMESs. We then transplanted the CNMESs onto the ocular surfaces of rabbits and confirmed the survival of this tissue, including the goblet cells, up to 2 weeks. The present report describes an attempt to overcome the problems of treating severe OSDs with the most severe dry eye by treating them using tissue-engineered CNMESs to supply functional goblet cells and to stabilize and reconstruct the ocular surface. The present study is a first step toward assessing the use of tissue-engineered goblet-cell transplantation of nonocular surface origin for ocular surface reconstruction.

Morphology and histochemistry of the digestive tract in carnivorous freshwater Hemisorubim platyrhynchos (Siluriformes: Pimelodidae)

The aim of this study was to characterize the morphology and histochemistry of the digestive tract of Hemisorubim platyrhynchos, a freshwater carnivorous catfish found in Neotropical region, using gross anatomy, light microscopy and transmission electron microscopy. This species presented a short and tubular esophagus with thick longitudinal folds. The esophageal mucosa was lined by stratified squamous epithelium containing epithelial cells, club cells and also numerous goblet cells, which secreted acidic and neutral mucins to protect and lubricate the epithelium. The stomach was a J-shaped saccular organ consisting of the cardiac, fundic and pyloric regions. The cardiac and fundic regions contained tubular gastric glands, whereas these glands were absent in the pyloric region. The gastric epithelial cells presented apical secretions that predominantly consisted of neutral mucins. The gastric musculature was, therefore, likely designed for retaining prey and the mechanical preparation of food. The intestine consisted of four regions: anterior, middle, posterior and rectal. The anterior intestine possessed thick folds to increase the surface area for absorption, the middle intestine was coiled and the posterior intestine presented thin folds and a thick musculature. The intestinal epithelium consisted mainly of enterocytes and goblet cells. Enterocytes were columnar cells with a PAS-positive brush border that contained lysosomes in the posterior intestine. Goblet cells were more numerous in the posterior intestine and secreted acidic and neutral mucins important for lubricating and protecting the epithelium. The rectum was lined by columnar epithelium with goblet cells and epithelial cells containing apical acidic and neutral mucins.

Glandular Odontogenic Cyst (Sialo-Odontogenic Cyst): Case Report

Glandular odontogenic cyst (GOC) is a rare developmental lesion that is considered a distinct entity because of its peculiar histopathological characteristics. This odontogenic cyst has unpredictable and potentially aggressive behavior. Man, 40, sought dental treatment for rehabilitation of the central incisors. There was no complaint of pain or sensitivity and the lesion was identified radiographically. Excised tissue sent for histopathological examination revealed parakeratinized squamous epithelial lining exhibiting cuboidal and columnar cells with numerous goblet cells and foci of epithelial cells with eosinophilic material resembling mucin.

Ultrastructural Study of the Alimentary Tract of Two Reptilian Species the Lizard Scincus scincus and the Snake Natrix tessellata

The ultrastructural difference of the alimentary tract of the insectivore, Scincus scincus and the carnivore, Natrix tesstellata was described by using scanning and transmission electron microscopy. The oesophagus of S. scincus with many prominent longitudinal folds while in N. tessellata it has many primary longitudinal folds and secondary ramification. The oesophageal epithelium of both species has numerous goblet cells. The mucosal epithelial cells in both species contain large nucleus, endoplasmic reticulum, lysosomes and some vacuoles. Stomach had a meshwork of primary folds in S. scincus and it forms various folds forming many discrete, irregular pockets in N. tessellata. The mucosal cells in the stomach of S. scincus have many secretory granules while in N. tessellate it provided with numerous mucinogen granules in the gastric columnar cells. In S. scincus, the intestinal mucosa with many primary folds but it appeared as longitudinal secondary mucosal folds in Zig-Zag pattern enclosing a number of concavities in N. tessellata. The intestinal mucosal cells in both species consisted of regularly formed microvilli. There were numerous goblet cells in the intestine of both species. In conclusion, structural variation of the alimentary tract in the two species examined was related to difference in feeding habits.

Oral Foregut Cyst in a Neonate

Oral foregut cysts are congenital choristomas that arise in the oral cavity during embryonic development from remnants of foregut-derived epithelium. This is an unusual report of a neonate with a large congenital sublingual cystic lesion, extending superficially from the left ventral tongue to the anterior floor of the mouth, impeding breast-feeding. The differential diagnosis included dermoid cyst, epidermoid cyst, mucous retention cyst, and oral lymphangioma. The treatment of choice was enucleation under general anesthesia. Histology showed a cystic lesion with a ciliated pseudostratified columnar epithelium with numerous goblet cells. Immunohistochemistry was positive for cytokeratin 7 and thyroid transcription factor 1 and negative for cytokeratin 20, resulting in a final diagnosis of an oral foregut cyst. Three weeks after surgery, the tongue had healed with good mobility, and breast-feeding could be established. No recurrence was present at 6 months of follow-up.

CD4 + T Cells Drive Goblet Cell Depletion during Citrobacter rodentium Infection

Both idiopathic and infectious forms of colitis disrupt normal intestinal epithelial cell (IEC) proliferation and differentiation, although the mechanisms involved remain unclear. Recently, we demonstrated that infection by the attaching and effacing murine pathogen Citrobacter rodentium leads to a significant reduction in colonic goblet cell numbers (goblet cell depletion). This pathology depends on T and/or B cells, as Rag1(-/-) mice do not suffer this depletion during infection, instead suffering high mortality rates. To address the immune mechanisms involved, we reconstituted Rag(-/-) mice with either CD4(+) or CD8(+) T cells. Both T cell subsets increased Rag1(-/-) mouse survival during infection, with mice that received CD8(+) T cells developing colonic ulcers but not goblet cell depletion. In contrast, mice that received CD4(+) T cells showed goblet cell depletion in concert with exaggerated IEC proliferation. To define the possible involvement of T cell-derived cytokines, we infected gamma interferon receptor gene knockout (IFN-γR(-/-)) mice and wild-type mice given interleukin 17A (IL-17A) neutralizing antibodies and found that IFN-γ signaling was required for both goblet cell depletion and increased IEC proliferation. Immunostaining revealed that C. rodentium cells preferentially localized to nonhyperplastic crypts containing numerous goblet cells, whereas hyperplastic, goblet cell-depleted crypts appeared protected from infection. To address whether goblet cell depletion benefits the C. rodentium-infected host, we increased goblet cell numbers using the γ-secretase inhibitor dibenzazepine (DBZ), which resulted in greatly increased pathogen burdens and mortality rates. These results demonstrate that goblet cell depletion reflects host immunomodulation of IEC homeostasis and reflects a novel host defense mechanism against mucosal-adherent pathogens.

Formation of the secondary tongue in Hynobius leechi and Ambystoma mexicanum (Amphibia: Urodela)

Tongue development in several developmental stages of the metamorphosing newt Hynobius leechi (Hynobiidae) and the paedomorphic Ambystoma mexicanum (Ambystomatidae) before and after artificially induced metamorphosis was studied by light microscopy (LM) and scanning electron microscopy (SEM). In H. leechi the anlage of the glandular field (lingual glands) of the secondary tongue appears under the free tip of the primary tongue and is clearly seen in late larvae (developmental stage approx. 65). The epithelium of the primary tongue is stratified and composed of epithelial cells, AB-positive goblet cells, some superficial ciliated cells, very few Leydig cells and typical taste buds. Later more or less radially arranged tubular glands (lingual glands) develop in the anterior portion of the prospective secondary tongue, which open in furrows lined in their upper region by the surface epithelium (“neck portion”). Fully developed glands are variously long, moderately branched and contain columnar secretory cells that are preferably AB-positive in their upper region, but AB- and PAS-negative in their terminal portions. Posteriorly the tubular glands become shorter in favour of the neck portion and then are abruptly replaced by a heavily ciliated area containing indentations of the epithelium interspersed with numerous goblet cells (crypts). This zone is considered as a modified remnant of the former primary tongue. Formation of the secondary tongue, often described as “fusion” of the glandular field with the primary tongue, is considered as a process levelling the free, probably regressive end of the primary tongue and the posterior part of the growing glandular field. The development of the secondary tongue of metamorphosing A. mexicanum follows the same pattern. However, the putative anlage of lingual glands in semiadult paedomorphic specimens may be considered as a further character indicating partial metamorphosis in this species. In the transformed axolotl we demonstrate the secondary tongue with lingual glands, epithelial folds with noticeable numbers of AB-PAS-positive goblet cells at the lower surface of the free tip of the secondary tongue, and, contrary to H. leechi, tubular glands immediately behind the dentary.

FREQUENCY AND DISTRIBUTION OF IMMUNOGLOBULIN CONTAINING PLASMA CELLS IN ILEUM REPRESENTING GUT-ASSOCIATED-LYMPHATIC TISSUES IN THE BCRDV-VACCINATED BROILER

Histological studies and development of immunoglobulin containing plasma cells in ileum representing gut-associated-lymphatic tissue of various group of broiler chickens vaccinated with Baby Chick Ranikhet Disease Vaccine (BCRDV) was carried out in the Department of Anatomy and Histology, Bangladesh Agricultural University, Mymensingh during January to October, 2011. A total of 24 day-old broiler chickens of both sexes were divided into two groups such as vaccinated and control. Vaccinated group of broiler chickens were vaccinated at third day through ocular route. It was observed that the villi of ileum were long and slender, lined by simple columnar cells with numerous goblet cells. Scattered lymphocytes and unorganized lymphatic nodules were present in the lamina propria and core of the villi. The frequency and distribution of lymphocytes in the lamina propria and intraepithelial lymphocytes were increased with concentration in vaccinated group. The length and width of mucosa were highest at D28. In the ileum of chickens, the IgA, IgG and IgM positive cells were found in the lamina propria, around the intestinal glands and in the core of the villi of both control and vaccinated group of chickens. The IgA positive cells were significantly (p&lt;0.01) higher than IgG and IgM positive cells in all stages of study in each group of chickens.DOI: http://dx.doi.org/10.3329/bjvm.v10i1-2.15641

Enterogenous cyst of the third ventricle

We present the second case of an enterogenous cyst of the third ventricle. This is a 28-year-old woman who presented with a 2year history of progressive headaches and memory loss. A cystic lesion of the anterior third ventricle was noted on MRI. The cyst was resected via a transcallosal approach and demonstrated simple cystic morphology lined by ciliated cuboidal epithelium with numerous goblet cells. The presentation was unusual with signs of memory loss presumably due to a mass effect on the fornices. Although uncommon, this entity should be considered in the differential diagnosis of a cystic lesion of the third ventricle.

Morphological differences in the skin of marble trout &lt;i&gt;Salmo marmoratus&lt;/i&gt; and of brown trout &lt;i&gt;Salmo trutta&lt;/i&gt;

Despite being genetically very closely related, the marble trout Salmo marmoratus and the brown trout Salmo trutta exhibit marked phenotypic differences, particularly with regard to skin pigmentation. Histological analysis of skin from the head and gill cover of differently aged individuals of the two species was carried out in order to characterize differences in skin structure. The basic structure of skin of the individuals studied corresponded with that described for other salmonids, though the head epidermis was somewhat thicker in S. marmoratus than in S. trutta, thickening with age in both species. Numerous secretory goblet cells and sporadic secretory sacciform cells were observed in the upper and middle part of the epidermis in both species. Melanophores were present in both species only in the dermis, and were bigger in S. marmoratus and present at lower average density than in S. trutta, and more or less constant across all age classes. In adult S. marmoratus with fully established marble pigmentation, light areas at low density with small (i.e. aggregated) melanophores were present, while in S. trutta melanophores were more uniformly distributed.

Benign mucinous metaplasia of the genital mucosa: histomorphological and immunohistochemical features and criteria for differentiation from extramammary Paget disease

Benign mucinous metaplasia of the genitalia (BMM) is a rare condition typified by cells with foamy mucinous cytoplasm. Differential diagnoses include extramammary Paget disease (PD) and human papillomavirus (HPV)-induced vulval intraepithelial neoplasia (VIN) with mucinous differentiation. To characterize histopathological and immunohistochemical features of BMM and to forge criteria for differentiation from PD and VIN with mucinous differentiation. Eight biopsy specimens of BMM were stained with haematoxylin and eosin, periodic acid-Schiff and alcian blue, and for cytokeratin (CK) 7, CK10, CK14, CK20, carcinoembryonic antigen (CEA), epithelial membrane antigen (EMA), S100, gross cystic disease fluid protein-15 (GCDFP-15), lysozyme and Ki67 and compared with PD. Polymerase chain reaction was performed in order to identify HPV-specific DNA. BMM showed mucin deposition in superficial epithelial layers ranging from numerous large goblet cells to subtle deposits. The epithelium often showed polygonal (squamoid) or cuboidal differentiation while columnar differentiation was an inconsistent feature. A band-like inflammatory infiltrate was consistently present. Metaplastic epithelium consistently expressed CK7, CEA and EMA either in the entire epithelium or in a superficial band, while CK14, CK10, GCDFP-15 and lysozyme were largely not expressed, and staining for CK20 and S100 was negative. Comparison with PD demonstrated similar staining characteristics, but in a scattered pattern of mucinous cells within preserved squamous epithelium and not in a band-like pattern as in BMM. Nuclear pleomorphism and Ki67-positive mucinous cells in superficial epithelial layers were seen only in PD; GCDFP-15 and/or lysozyme were expressed in the majority of cases of PD. No evidence of HPV-specific DNA was found in BMM. The spectrum of changes in BMM is distinctive, and BMM can be differentiated with surety from both PD and VIN with mucinous differentiation.

Histological and Histochemical Studies of the Colon in the African Giant Rat (Cricetomys gambianus, Waterhouse 1840)

Forty AGRs were used for the present study. Histologically, the different segments of the colon were observed to be lined by simple columnar epithelium with numerous goblet cells and intestinal glands. The tunica muscularis was observed to present a thick band of longitudinal muscles. Histochemical studies showed that the goblet cells and the intestinal glands of the entire colon were AB, PAS and ABPAS positive, signifying the production of acidic and neutral mucin.

A study of morphology and histology of the alimentary tract of Glyptosternum maculatum (Sisoridae, Siluriformes)

Xiong, D., Zhang, L., Yu, H., Xie, C., Kong, Y., Zeng, Y., Huo, B. and Liu, Z. 2011. A study of morphology and histology of the alimentary tract of Glyptosternum maculatum (Sisoridae, Siluriformes). —Acta Zoologica (Stockholm) 92: 161–169. The structure of alimentary tract has been studied in a cold water fish Glyptosternum maculatum, an endemic teleost species of notable economic importance and with high potential for controlled rearing of the species in Tibet, by light and electron microscope. Glyptosternum maculatum has short oesophagus, large caecal-type stomach and short intestine, and the digestive tract with four layers: mucosa, submucosa, muscularis and serosa. Taste buds were found in the epithelium of lips, buccopharynx and oesophagus. The stratified epithelium of buccopharynx and oesophagus was located with numerous goblet cells. The U-shaped stomach has three parts, corresponding to mammalian cardiac, fundus and pyloric portion, lined with a single-layered columnar epithelium, and tubular gastric glands are present in cardiac and fundic portion, but absent in pyloric portion. No pyloric caeca was detected. The intestine is separated from the stomach by a loop valve. The intestine epithelium is composed of simple columnar cells with a distinct microvillus brush border and many goblet cells. Meanwhile, the intestinal coefficient was 0.898. At the ultrastuctural level, three type cells (mucous, glandular and endocrine cell) were found in the stomach, and glandular cell with a great amount of pepsinogen granules. The enterocytes of the intestinal mucosa display abundant endoplasmic reticulum, mitochondria and well-developed microvilli. Congxin Xie, College of Fisheries, Huazhong Agricultural University, Wuhan, Hubei 430070, China. E-mail: xiecongxin@mail.hzau.edu.cn or dreamsail_2005@yahoo.com.cn

Histological and Morphological Studies of digestive tube and liver of the Persian tooth-carp, Aphanius persicus(Actinopterygii: Cyprinodontidae)

Abstract Histology offers a powerful tool in the study of detailed structures of different tissues in fishes. It is used for sex verification, identifying stages of development, presence of parasites, tumors diagnosis, other abnormalities and changes in the arrangement of tissue layers including the digestive tract. In this study, not having found any existing report, the digestive tract histology of the Persian tooth-carp, Aphanius persicus (Jenkins, 1910), was investigated. The dentition comprised canine-like teeth in one row with sharp tips. Esophagus consisted of small portion between pharynx and stomach. Stomach showed an enlargement and the intestine is relatively short. The mucosa of total digestive tube consisted of simple columnar cells and numerous goblet cells. The liver is composed of parenchymal cells and lattice fibers whose function is to support the former. Our data showed this fish is heterodont, omnivores with no secretory stomach.

Distribution of goblet cells and MUC5AC mRNA in the canine nictitating membrane

This study evaluated the distribution of goblet cells and the expression of MUC5AC mRNA in the canine nictitating membrane. The distribution of goblet cells in the nictitating membrane and temporal bulbar conjunctiva of beagle dogs was examined by histochemical analysis of impression cytology specimens and frozen sections. MUC5AC mRNA was detected by the reverse transcription polymerase chain reaction (RT-PCR). The distribution of MUC5AC mRNA was also examined by in situ hybridization using digoxigenin-labeled antisense and sense RNA probes. Histochemical analysis showed that the canine nictitating membrane epithelium contained many more periodic acid-Schiff positive goblet cells, particularly on the palpebral side, compared with the temporal bulbar conjunctiva. RT-PCR revealed that MUC5AC was expressed in both the nictitating membrane and in conjunctival tissue. When the distribution of MUC5AC mRNA was assessed by in situ hybridization, its expression was high on the palpebral side of the nictitating membrane and low in the temporal bulbar conjunctiva. MUC5AC mRNA expression corresponded with the distribution of goblet cells by histochemical examination. In conclusion, there were numerous goblet cells in the canine nictitating membrane epithelium, particularly on the palpebral side, and MUC5AC mRNA was expressed in the nictitating membrane epithelium at locations corresponding to the goblet cells.

Identification of intestinal M cells in isolated lymphoid follicles and Peyer’s patches of the Angora rabbit

The presence, distribution, and localization of M cells in isolated lymphoid follicles (ILF) and in follicle-associated epithelia (FAE) covering Peyer's patches (PP) in Angora rabbits were investigated by immunohistochemistry and electron microscopy. Although PP could macroscopically be identified along the length of the mucosal and serosal surfaces of jejunum and ileum, the presence of ILF could only be located microscopically. Typical M cells in FAE were detected within the periphery of the dome regions of the PP, and immature columnar M cells in the FAE resided in the vicinity of the crypts. M cells in the FAE of both ILF and PP showed vimentin-positive reaction. M cells in the FAE of ILF were morphologically similar to the immature M cells found in the FAE of PP. Typical mature M cells were also observed in the FAE of a few ILF. In contrast to FAE of PP, numerous goblet cells were observed in the FAE of many ILF. Moreover, among intestinal villi, we noticed villi-like solitary lymphoid structures that showed abundant lymphocytes in their lamina propria and that were surrounded with vimentin-positive cells and goblet cells. Thus, the occurrence of copious immature M cells and goblet cells, in addition to the detection of villi-like solitary lymphoid structures full of lymphocytes in the FAE of many ILF, indicate that ILF do not complete their immunological maturation in contrast to PP. Various antigenic stimulations conceivably induce the formation and maturation of ILF along the length of the small intestine. The morphological resemblance between ILF M cells and PP M cells suggests that these two types of cells perform similar or the same immunological functions.

Transitional cell neoplasm of the nasolacrimal duct associated with human papillomavirus type 11

Tumors of the lacrimal sac are rare but noteworthy because of their significant potential to become malignant or life-threatening if treatment is delayed. Dermatologists may be the first to encounter such neoplasms. We report a case of a 53-year-old Caucasian woman who presented with a seven-year history of an asymptomatic, subcutaneous nodule near her right medial canthus. Histology of the lesion revealed transitional epithelium in a papillary growth pattern with numerous goblet cells, scattered mitoses and focal full-thickness atypia. The patient was diagnosed with transitional cell neoplasm (inverted papilloma-type) of the nasolacrimal duct. PCR evaluation identified HPV type 11 in the lesion. Our report is one of a growing number of case reports and series detecting HPV DNA in these tumors which further supports HPV as an etiologic agent in epithelial lacrimal sac tumors. We believe that dermatopathologists need to be aware of this entity, as dermatologists may be the first to encounter these neoplasms. The association of HPV with this tumor does not prove causality.