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Quantitative morphometric analysis of the Merkel cell carcinoma in Sciurus anomalus pallescens
| Parameter | Methodology / quantification approach | Measured value (mean ± SD) | Interpretation / diagnostic significance |
|---|---|---|---|
| Total tumour area (mm2) | Digital planimetry; threshold-based segmentation of tumour parenchyma vs. stroma | 12.86 ± 0.41 | Defines baseline morpho-metric field for necrosis and mitotic density assessment |
| Necrotic area (% of tumour parenchyma) | Morphometric segmentation of necrotic zones (eosinophilic debris, nuclear karyorrhexis and ghost cell outlines) relative to viable tumour tissue | 18.2 ± 1.3% | Consistent with extensive ischaemic necrosis typical of high grade neuroendocrine carcinomas |
| Mitotic count (per 2.37 mm2) | Enumerated manually under 400× magnification (field number 22 mm ocular) across 10 contiguous high-power fields | 52 | Reflects markedly elevated proliferative index, supporting Grade III malignancy |
| Ki-67 labelling index (% of tumour nuclei) | Immunohistochemical quantification using QuPath v. 0.4.3 (n = 2,500 cells and threshold ≥ 1% nuclear staining) following established digital image analysis guidelines for Ki-67 assessment in neuroendocrine tumours (3) | 68.1 ± 2.4% | Indicates extreme proliferative activity and high cellular turnover rate |
| Lymphovascular invasion | Identified morphologically and verified via CD31 immunostaining; strict Veterinary Cancer Guidelines and Principles criteria applied | Present (3 foci / section) | Confirms intraluminal tumour emboli with intact endothelial lining; predictor of metastasis |
| Tumour-stroma ratio | Ratio of tumour cellularity to stromal area (imaging mass cytometry segmentation, single-cell annotation and 1,000-μm2 regions of interest) | 3.4:1 | Demonstrates high tumour cell density and limited stromal buffering capacity |
| Mean nuclear diameter (μm) | Quantified on HE images (n = 200 cells) using HALO CytoNuclear module | 8.3 ± 0.6 | Reflects monomorphic small-cell morphology characteristic of MCC |
| Tumour necrosis index | Composite score = (necrotic area × mitotic count) / total viable tumour area | 0.73 ± 0.04 | Quantitative index correlating with high-grade neuro-endocrine tumour aggressiveness |