77Chapter Five Histology
Clinical View | Carcinomas and Sarcomas
Clinically, a tumor derived from epithelial tissues is called a
carcinoma (karkinos, crab + oma, tumor), and a tumor derived
from connective tissues is called a sarcoma (sarc-, flesh + oma,
tumor). Carcinomas are considered noninvasive when they do not
penetrate the basement membrane that lies between the epithelial
and connective tissue layers. Once rapidly dividing cells penetrate
the basement membrane, the cancer is considered invasive. While
epithelial tissue is avascular, the underlying connective tissue is not.
Thus, invading cancer cells can easily metastasize (meta-, change
+ ize, an action) to other locations of the body through blood and
lymphatic vessels. Sarcomas, which arise from connective tissues,
pose a similar risk. However, they tend to grow and metastasize
much more readily than carcinomas because of the highly vascular
nature of connective tissues.
Muscle Tissue
Muscle tissue is both excitable and contractile. Excitable tissues are able
to generate and propagate electrical signals called action potentials. As a
contractile tissue, muscle has the ability to actively shorten and produce
force. There are three types of muscle tissue: skeletal muscle, cardiac
muscle, and smooth (visceral) muscle. The three types of muscle tissue
are distinguished by their neural control (voluntary or involuntary), the
presence or absence of visible striations, the shape of the cells, and the
number and location of nuclei. Skeletal muscle is found in the voluntary
muscles that move the skeleton and the facial skin. Cardiac muscle
is found in the heart, and smooth muscle is found in the walls of soft
viscera such as the blood vessels, stomach, urinary bladder, intestines,
and uterus. Table 5.7 compares the three types of muscle tissue, and
the flowchart in figure 5.24 explains steps that can be used to identify
muscle tissues.
Table 5.7Muscle Tissue
Type of MuscleDescription Generalized Functions
Identifying
Characteristics
Skeletal Elongate, cylindrical cells with multiple nuclei. Nuclei are peripherally
located. Tissue appears striated (light and dark bands along the length of
the cell).
Produces voluntary movement of the
skin and the skeleton.
Length of cells (extremely
long), striations, multiple
peripheral nuclei.
Cardiac Short, branched cells with one to two nuclei. Nuclei are centrally located.
Dark bands (intercalated discs) are seen where two cells come together.
Tissue appears striated (light and dark bands along the length of each cell).
Performs the contractile work of the
heart. Responsible for creating the
pumping action of the heart.
Branched, uninucleate cells,
striations, intercalated discs.
Smooth Elongate, spindle-shaped cells (fatter in the center, narrowing at the
ends) with single, “cigar-shaped” or “spiral” nuclei. Nuclei are centrally
located. No striations are apparent.
Creates movement within viscera
such as intestines, bladder, uterus, and
stomach. Moves blood through blood
vessels, etc.
Spindle shape of the cells, no
striations, cigar-shaped nuclei
that are centrally located.
Start
No Yes
YesNo*YesNo*
No
Yes
Yes
No Uncertain
Yes* No
Are striations present?
Are cells
branching?
Are nuclei
located on the
periphery?
Are cells
branched?
Are cells
uninucleate?
Skeletal
muscle
Cardiac muscle
(look for
intercalated discs)
Smooth
muscle
Are cells
multinucleate?
* Increase magnification. Do cells branch and/or are intercalated discs
present? Then it’s probably cardiac muscle.
Figure 5.24 Flowchart for Classifying Muscle Tissues.
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