SYNOPSIS An odontogenic myxoma of a maxilla has been examined. Histochemistry of the mucosubstance indicated that hyaluronic acid and chondroitin sulphate were present. On ultrastructural examination many ofthe cells in the myxomatous tissue were seen with prominent rough endoplasmic reticulum, suggesting a secretory function, and possibly the myxomatous ground substance was produced by these cells. Cells containing collagen fibrils were found. Epithelial islands with intercellular spaces producing an arrangement similar to the stellate reticulum of the enamel organ were found, and possibly had developed from odontogenic epithelial rests. These islands were surrounded by a clear zone, outside which were cells with an increased prominence of adenosine-triphosphatase, nucleoside-diphosphatase, thiamine-pyrophosphatase, and often arylamidase reaction products. This probably represents a reaction of the mesodermal tissue to the epithelial islands. Possibly the epithelium exerts an inductive effect on the mesodermal tissue, and the myxomatous appearance may be the result of an aberrant development of mesodermal cells into 'myxoblasts' which secrete the myxomatous ground substance.A considerable number of odontogenic myxomas have been studied by means of routine histological techniques (Zimmerman and Dahlin, 1958;Barros, Dominguez, and Cabrini, 1969;Gorlin, 1970;Pindborg, 1970;Whitman, Stewart, Stoopack, and Jerrold, 1971;Cawson, 1972). Two more specialized studies have been a thorough study of the chemistry and histochemistry of the mucosubstance by Hodson and Prout (1968) and a histochemical study by Sedano and Gorlin (1965), both these studies being primarily of single cases.In the present investigation a maxillary tumour which was found on preliminary biopsy to be an odontogenic myxoma has been studied after removal by means of routine histological techniques, enzyme and mucosubstance histochemistry, and electron microscopy.
Materials and MethodsThe tumour occupied the right maxilla of an otherwise fit woman of 21 years who had noticed swelling of the right face for at least three years. The case history will be reported elsewhere (Harrison and Eggleston, 1973). Upon removal of the tumour a Received for publication 31 May 1973. pyramid of tissue extending to the centre of the tumour was removed. The cut surface was white and the tissue was of a rubbery consistency. The apical part of this pyramid was preserved in several ways.
MUCOSUBSTANCE HISTOCHEMISTRY AND ROUTINE HISTOLOGYA piece of tissue was fixed overnight at 04' in 10% formalin with 09 9% saline and 2% calcium acetate and was subsequently wax-embedded. Sections were cut at 5 ,u.Mucosubstances containing vic-glycols were demonstrated by the periodic-acid Schiff technique (Stoward, 1967, but with Schiff's reagent from G. T. Gurr). Glycogen was detected by the disappearance of its staining with the periodic-acid Schiff technique after incubating sections for one hour at 370 in an aqueous solution of 0-1 % malt diastase (Sigma).Acidic mucosubstances were de...